Case management and utilization management
For health plans, IPAs and medical groups
Plan and medical group case managers can call us about any member with advanced illness in San Bernardino, Riverside, Los Angeles or Orange County. We confirm the member's benefits, tell you what authorization we need, and report the outcome of the referral. Contract status varies by plan and line of business, so ask us before assuming we are in network. Call (909) 347-7000 or email info@betahospice.com and ask for the person responsible for contracting.
Reviewed by our medical director, September 24, 2026
On this page (3 sections)
How hospice is paid, by line of business
| Coverage | General rule | What we need from the plan |
|---|---|---|
| Medicare Advantage | When a member elects hospice, Original Medicare pays the hospice and pays for other Part A and B services. The member stays in the plan, which remains responsible for supplemental benefits | Usually nothing for the hospice claim. Case manager contact for coordination |
| Medi-Cal managed care | Hospice is a covered Medi-Cal benefit. Plans are responsible for hospice for their members, including nursing facility room and board where it applies | Plan-specific notification or authorization. We identify the plan and line of business, verify eligibility and network status, determine whether authorization is required, send the minimum necessary referral information through the approved channel and record the decision before scheduling covered services. |
| Dual eligible (Medi-Medi) | Medicare pays the hospice benefit. Medi-Cal is responsible for nursing facility room and board when it applies | Coordination with the Medi-Cal plan for room and board |
| Commercial | Most plans include a hospice benefit. Costs and approvals vary | Authorization and benefit details. We verify benefits and network status first; where an out-of-network or single-case arrangement is needed, we obtain written authorization with agreed services, rates and billing terms before promising coverage. |
We check benefits and tell the member their costs before care starts.
Palliative care under SB 1004
California Senate Bill 1004 requires Medi-Cal managed care plans to offer palliative care to members who meet general and disease-specific criteria set by the Department of Health Care Services. The member does not give up disease-directed treatment. See palliative care referrals for a summary of the criteria. Whether Beta is a contracted SB 1004 palliative care provider is verified with each plan; the state requirement alone does not establish a contract.
How plans and IPAs can reach us
- Step 1
Call or send a referral
Use the phone or secure options on the referral page. Tell us the plan, the medical group and your call-back number, or email info@betahospice.com and ask for the person responsible for contracting.
- Step 2
We verify and respond
We confirm benefits and network status and tell you what authorization is needed, within two hours of your referral, 24 hours a day.
- Step 3
We report back
Admitted, declined, not eligible, or referred to palliative care, with the start date and level of care.
- Step 4
Contracting inquiries
Send contracting and credentialing requests through the contact page. Our NPI and Medicare certification number are on the about page.
Patients have the right to choose their hospice provider. Beta Hospice does not offer anything of value in exchange for referrals.
About this page
- Written by
- Beta Hospice care team
- Clinically reviewed by
- our medical director
- Last reviewed
- September 24, 2026
- Next review
- March 24, 2027
How we write and review this site
Sources
- Medicare.gov: Hospice care coverage (including Medicare Advantage members) (opens in a new tab)
- DHCS: Palliative care policies (SB 1004) (opens in a new tab)
- 42 CFR 418.20: Eligibility requirements (opens in a new tab)
These sources support the general information on this page. For one person’s care and coverage, talk with the hospice team.
Refer a patient or ask a clinical question
Call any time. A nurse can talk through eligibility, timing and logistics for your patient.
Patients have the right to choose their hospice provider.