ARSD 67:16:36:05. Reimbursement for room and board

A recipient's room and board is covered through the hospice benefit under the following circumstances: (1) If a recipient is receiving routine home care in an inpatient hospice; or (2) If a recipient is receiving routine home care or continuous home care in a skilled nursing facility, ICF-IID, or swing bed. For a recipient receiving routine home care or continuous home care in a skilled nursing facility, ICF-IID, or swing bed, the hospice provider is paid 95% of the per diem rate that would have been paid to the facility. The facility is paid by the hospice provider pursuant to their written agreement as required by 42 C.F.R. § 418.112, as amended to January 1, 2010.