Special Considerations

For any month in which an A/R is in Hospice care and another COA such as Hospital or Nursing Home, approve the case on the system under the other COA. Use Hospice COA when the A/R is in Hospice and not eligible under any other COA for a specific month.

A/Rs may receive Hospice services while receiving Medicaid through EDWP/CCSP. It is not necessary to terminate the existing EDWP/CCSP case and switch to Hospice. If A/R was eligible under the Hospice COA, switch to EDWP/CCSP. The Hospice and EDWP/CCSP eligibility may occur simultaneously in MHN.