This transmittal provides notice and guidance to hospice and nursing home providers on the process for billing and reimbursement of room and board services for hospice beneficiaries under the new nursing home reimbursement methodology. Further, this document also serves as notice to retractTransmittal # 18-19: Interim Process for Hospice Billing & Reimbursement for Beneficiaries Residing in Nursing Homes – issued on May 4, 2018.