VNS Health Medicare Palliative Care and Hospice Services
VNS Health Medicare is one of a handful of designated CMS Innovation Center Model participants for the Hospice Benefit Program, designed to increase patient access to hospice services and improve coordination between hospice providers and other clinicians at the patient’s end of life. The Hospice Benefit component of the Value Based Insurance Design (VBID) Model is an opportunity for VNS Health Medicare, physicians, and hospice providers to collaborate and improve care coordination, transparency, and quality of life for our Medicare members at the end of life.
Frequently Asked Questions
If you are a physician who ordinarily provides primary or specialty care services to a patient who is now in hospice, you should bill us directly. You do not need to bill both CMS and VNS Health Medicare, unless you are specifically a hospice provider or facility.
Claims must be submitted to both VNS Health Medicare and to the Centers for Medicare and Medicaid Services (CMS).
Please note: In addition to your usual Notice of Election (NOE) and Notice of Termination/Revocation (NOTR) submission to CMS, all providers are also required to submit the NOE to us within 5 days of hospice election and the NOTR within 5 days of hospice termination. Please submit all Hospice NOE and NOTR material to [email protected].
Or you can mail your Notice of Election to:
Health Plans ‒ Membership Eligibility Unit
220 East 42nd Street
New York, NY 10017
These services are offered in the Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk, and Westchester Counties.
View up-to-date information on the CMS Model’s website.