Utah Administrative Code (Current through November 1, 2019) |
R414. Health, Health Care Financing, Coverage and Reimbursement Policy |
R414-14A. Hospice Care |
R414-14A-9. Rights Waived to Some Medicaid Services for Adult Clients
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(1) For the duration of an election for hospice care, an adult client waives all rights to Medicaid for the following services:
(a) hospice care provided by a hospice other than the hospice designated by the client, unless provided under arrangements made by the designated hospice; and
(b) any Medicaid services that are related to the treatment of the terminal condition for which hospice care was elected or a related condition or are duplicative of hospice care except for services:
(i) provided by the designated hospice;
(ii) provided by another hospice under arrangements made by the designated hospice; and
(iii) provided by the client's attending physician if the services provided are not otherwise covered by the payment made for hospice care.
(2) Medicaid services for illnesses or conditions not related to the client's terminal illness are not covered through the hospice program but are covered when provided by the appropriate provider.