Home Health and Hospice Services

In the Puget Sound region (excluding Olympia), the Kaiser Permanente Continuing Care Division provides home health and hospice services. In Olympia, Northwest Washington, and East of the Cascades, these services are available from contracted agencies.

Admission Criteria

Kaiser Permanente's criteria for admission to home health services are based on the federal regulations for the Medicare home health benefit and MCG guidelines.

Kaiser Permanente members qualify for hospice care using the same criteria as the Medicare hospice benefit. Contracted hospice agencies must bill Medicare directly for Kaiser Permanente Medicare members receiving hospice care.

Arranging for Services

If the member is in the hospital, discharge planners in your area will arrange for home health or hospice services.

If the member is in your office, contact:

Puget Sound region:
Please submit a Home Health or Hospice referral via EPIC Order Entry.

Home Health and Hospice Referral Intake Office
206-326-4444
Toll-free: 1-800-332-5735

Olympia, Northwest Washington, and East of the Cascades:
Send a request for authorization using the Referral Request tool.

Or, contact Review Services
Toll-free: 1-888-289-1363
Fax: 1-888-282-2685

Contracted Providers

Find home health and home infusion therapy providers in our provider directory.

Hospice Information for
Medicare Part D

The Hospice Information for Medicare Part D form is used by providers for documenting Part D coverage of drugs for members who are Medicare beneficiaries enrolled in hospice. This form facilitates coordination between Part D plans, hospices, and pharmacists. Two primary uses are to document that a drug is unrelated to a Medicare beneficiary member's terminal prognosis, and to convey the Medicare beneficiary member's change in hospice status.

When providers submit this form prospectively, it ensures that Kaiser Foundation Health Plan of Washington will be able to determine whether a drug is related or unrelated to the Medicare beneficiary member's terminal prognosis and, therefore, whether the drug is covered under Part D.

The form may also be used for hospice providers to communicate and update the medications list from the Medicare beneficiary member's plan of care.

Where to send the form
Kaiser Foundation Health Plan of Washington
Pharmacy Administration Help Desk
Mailstop: GSE-B2s-01
2921 Naches Ave S.W. Renton, WA 98057

Fax: 1-866-510-1765

Reviewed 06/09/2017

The Provider Manual is not intended for any use by any party other than as a resource for Kaiser Foundation Health Plan of Washington's contracted providers in fulfilling their obligations under provider contracts. Kaiser Permanente intends for the manual to be accurate for its intended purpose but doesn’t guarantee accuracy. Providers should comply with the terms of their provider contracts and any legal requirements in the event of an inconsistency between the manual and a requirement in their provider contracts or the law.