Del. Medical Assistance Program Hospice Provider Specific Policy Manual § 1.1

1.1.1 An individual may elect to receive hospice care during one or more of the

following election periods:

• An initial 90 day period

• A subsequent 90 day period

• Unlimited number of subsequent 60 day periods

1.1.2 If the individual becomes DMAP eligible within a previously elected Medicare

benefit period, the DMAP benefit period will be adjusted to align with Medicare’s

benefit period(s).

1.1.3 A per diem amount will be paid to the hospice organization for days on which

routine home care or continuous home care is provided to the member.

1.1.4 The Medicare reimbursement cap will not be applied to DMAP hospice providers.

1.1.5 If an individual is eligible for Medicare as well as Medicaid, the hospice benefit

must be elected and revoked simultaneously under both programs in order to

assure that DMAP is the secondary payer.