MedicaidAdministrativeHigh impact
North Carolina Medicaid: Submitting hospice claims for members in SNFs
UnitedHealthcare·NC · Palliative Care·State news
Effective date
Feb 10, 2026
We identified it
Jun 13, 2026
Summary
North Carolina Medicaid requires hospice providers to bill for room and board services on behalf of skilled nursing facilities (SNFs) to avoid duplicate billing and claim denials. Only the hospice provider should submit these claims using specific revenue codes, with the hospice then reimbursing the SNF per their contract.
Action Required
Immediately: Hospice billing teams must coordinate with SNFs to ensure only the hospice provider submits room and board claims to UnitedHealthcare Community Plan of North Carolina. Use revenue codes 0658 for intermediate care and 0659 for skilled care. Enter SNF NPI in Service Facility Provider field and hospice NPI in Attending Provider field. Submit monthly claims and communicate with SNF partners about this billing arrangement to prevent duplicate claim submissions and denials.