Ga. Medicaid Part II Policies & Procedures for Hospice Services § 708

If an individual is eligible for Medicare as well as Medicaid, the hospice benefit must be elected,

discharged and revoked simultaneously under Medicaid and Medicare. The appropriate Division of

Medical Assistance hospice forms must be completed and submitted within the established

timeframes; this includes notifying DFCS by completing the Hospice Care Communicator. The

Medicare election and certification(s) are required for the Medicaid nursing facility room and board.

Medicaid will reimburse the hospice agency for no services other than

the nursing facility room and board payment or if later the patient should need to be admitted into a

nursing facility. Revocation, discharge, transfer and change of hospice agency procedures must be

followed and designated forms completed in both programs as specified.

If an individual becomes eligible for Medicaid while already enrolled in the Medicare hospice

benefit, Medicare hospice coverage continues. The Medicaid hospice coverage will begin on the first

day of the signed election form for Medicaid but end on the same date as the last day of the current

Medicare hospice benefit period. Subsequent benefit periods for Medicare and Medicaid will begin

and end concurrently. The Hospice Election Form must be completed upon notification to the

hospice agency the individual has applied for Medicaid or is receiving Medicaid benefits. Refer to

Section 603 and Section 709.