MedicaidBilling CodesMedium impact
23-583m Avoid Claims Delays: SNFs Should Not Bill Room and Board for a Medi-Cal Member on Hospice
Health Net·CA · Palliative Care·Reimbursement
We identified it
Jun 20, 2026
Summary
Skilled nursing facilities (SNFs) must stop billing room and board charges for Medi-Cal hospice patients, as hospice providers are now responsible for these charges using revenue code 0658. SNFs billing room and board for these patients will experience claim delays.
Action Required
Immediately: Billing team must stop billing room and board charges for Medi-Cal members receiving hospice care in SNF settings. Update billing system to flag hospice patients and prevent R&B billing. Coordinate with hospice providers who will now bill using revenue code 0658. Failure to comply will result in claim delays.