Ga. Medicaid Part II Policies & Procedures for Hospice Services § 703

An adult individual must waive all rights to Medicaid payment for the duration of the election of

hospice care for the following services:

703.1. Hospice care provided by a hospice agency other than the hospice agency designated by

the individual (unless provided under arrangements made by the designated hospice);

703.1.1. Any Medicaid services that are related to the treatment of the terminal

condition for which hospice care was elected or a related condition or

that are equivalent to hospice care except for services:

703.1.1.1. Provided (either directly or under arrangement) by the

designated hospice agency:

703.1.1.2. Provided by another hospice agency under arrangements

made by the designated hospice agency; and

703.1.1.3. Provided by the individual’s attending physician if that

physician is not an employee of the designated hospice

agency or receiving compensation from the hospice

agency for the services.

The individual may continue to receive services for conditions unrelated to the terminal illness.

After the hospice episode is ended either by revocation or discharge, the adult patient’s coverage

under the state plan resumes or remains unaffected. Individuals receiving waivered services that are

not duplicative of hospice services and are considered unrelated to the terminal illness may be

continued and provided concurrently with hospice services. See Section 907 regarding Medicaid

waivered services and the provision of hospice care.