Patients sometimes reach a point where nothing more can be done. They know their illness will end with death. Families stressed to the breaking point seek out hospice care to provide palliative care to loved ones in their final days. Inevitably, families wonder how to pay for such care and, specifically, whether Medicaid will pay for their loved one’s hospice care.
Medicaid is a government program that pays for medical assistance provided to individuals that lack the means to pay for that care. It does cover hospice care under certain circumstances:
- The patient must be terminally ill (which is defined as expecting to live six months or less);
- A physician or hospice medical director must certify the medical need for hospice care; and
- The certification must include supporting documents, like test results and medical records.
Medicaid defines hospice care services as:
- nursing care supervised or provided by a registered nurse,
- medical social services provided under the direction of a doctor;
- services of a trained home health aide;
- medical supplies and appliances needed under the patient’s care plan;
- physicians’ services;
- short-term inpatient care (occasional only and not for more than five days)
- other services otherwise covered by Medicaid.
Medicaid Hospice Eligibility
Medicaid eligible recipients diagnosed as terminally ill must file a statement electing hospice care. If a terminally ill patient has not received Medicaid benefits, then the application process starts from the beginning.
Providers of hospice care must also meet Medicaid eligibility requirements. If all state and federal requirements are not met, the provider may have to repay any Medicaid funds they received.
Can I Get Medicaid Hospice Benefits?
Maybe. While Medicaid does cover hospice care, there are requirements that need to be met.
Schedule a free consultation with the attorneys at Adams & Miller, P.C. Obtaining Medicaid benefits for hospice care may be difficult, but you’re not alone. Our attorneys know how to help people like you. Just give us a call at 256-251-2137 or use our Contact Form to set up an appointment. Serving clients in the greater Anniston and Birmingham areas, including Talladega and Gadsden.