AZ · guidance
AHCCCS Medical Policy Manual, Policy 310-J, § III.A
Eligibility
1. A physician shall provide a signed certification stating that the member’s prognosis is
terminal, with the member’s life expectancy not exceeding six months. However, due
to the uncertainty of predicting courses of illness, the hospice benefit is available beyond
six months, provided additional physician certifications are completed.
A member may elect to receive hospice care during one or more of the following
election periods:
a. An initial 90-day period,
b. A subsequent 90-day period, and/or
c. An unlimited number of subsequent 60-day periods.
2. As specified in Section 2302 of the Affordable Care Act, EPSDT-aged members may
continue to receive curative treatment for a terminal illness while receiving hospice
services. Adult members aged 21 and older who elect hospice services shall forgo curative
care related to the terminal diagnosis but may continue to receive services unrelated to the
hospice diagnosis.
History
AMPM Policy 310-J effective dates: 10/01/07, 01/25/19, 10/01/22; approval dates: 10/01/09, 10/01/10, 07/20/11, 10/01/13, 11/15/18, 04/14/22.
Provenance
- Source
- www.azahcccs.gov
- Retrieved
- 2026-10-01
- Edition
- ampm-310-j-2022-10-01
- Content hash
6b42c99cc7682fbf1a8a8429b8cdc98caf412c0dcdfbf3024e7cde238b2291a1
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