Licensing AND Certification Program

Palliative Care Pilot Program (PCPP)
Reporting Instructions

PCPP Reporting Instruction Sections
1. Begin Submission (PDF)
2. Sign into your Account (PDF)
3. Navigating the Site (PDF)
4. Creating a New Report (PDF)
5. Facility Search (PDF)
6. Reporting Year Selection (PDF)
7. Facility Details (PDF)
8. PCPP Participation Status (PDF)
9. Designated Point of Contact (PDF)
10. PCPP Participation Intervals (PDF)
11. Number and Type of Staff (PDF)
12. Persons and Patients Receiving Palliative Care Services (PDF)
13. Source of Payment (PDF)
14. PCPP Patient Discharged by Reason and Length of Stay (PDF)
15. Hospice Admissions by Principal Diagnosis (PDF)
16. Complaints Received (PDF)
17. PCPP General Questions (PDF)
18. Acknowledgement Signature (PDF)
19. Appendix A: Source of Payment Definitions (PDF)
20. Appendix B: Glossary of Terms (PDF)
21. Appendix C: Example PCPP Report (PDF)

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