Medicaid covers hospice services for terminally ill recipients. Hospice care provides palliative care, relief of pain and other symptoms, for persons in the last phase of an incurable disease so that they can live as fully and comfortably as possible. Hospice also provides supportive services to terminally ill persons and assistance to their families in adjusting to the patient's illness and death.
Medicaid Hospice services are available to recipients with a terminal diagnosis that have been certified by a physician to have a life expectancy of six months or less.
Covered Hospice services are available to recipients in their Home, Nursing Facility or ICF/IID setting. Hospice services are reasonable and necessary for the palliation or management of the terminal illness as well as related conditions as detailed in the Hospice regulations and Hospice Services Manual.
In order to receive Hospice services, the recipient must elect Hospice coverage using the MAP-374 - Election of Medicaid Hospice Benefit Form.
Recipients that elect Hospice will receive treatment for conditions related to their terminal illness by their Hospice provider.
Recipients younger than 21 eligible for Hospice benefits are eligible to receive curative treatment in relation to their terminal illness concurrently with Hospice services.
If an individual is eligible for Medicare as well as Medicaid (dual eligibility), the hospice benefit must be elected and revoked simultaneously under both programs.
Hospice benefits shall consist of two 90-day periods.
Additional 60-day extension of Hospice benefits periods are covered until revocation or termination for other reasons such as ineligibility or death. Recertification is required for each 60-day extension benefit period.
Send the MAP-374, MAP-375, MAP-376, MAP-378 and MAP-403 to DMS by fax at 1=502-564-0039 or by email for processing.