GIP level of care is always short term. It is available for patients who are experiencing uncontrolled symptoms and need observation and/or intervention. Some examples of uncontrolled symptoms are agitation, symptomatic ascites, bleeding, acute cardiac failure, insomnia, intestinal obstruction, nausea/vomiting, pain, respiratory failure, active seizures, complicated wound care, terminal restlessness, etc. There are specific signs/symptoms that must be present to show that the symptom is uncontrolled and meets the inpatient criteria.
GIP services are covered 100% by Medicare and Medicaid. Hospice accepts other insurances also; however, the insurance coverage/benefits may vary. If a patient stops meeting the criteria for GIP, transfer planning to hospice care in the community will begin. Transfer planning options include: returning home or to a family/friend’s home; placement at an assisted living or skilled nursing facility; or a patient may decide to transfer to residential status, if residential beds are available.