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GA · guidance

Ga. Medicaid Part II Policies & Procedures for Hospice Services § 801

General

activein force · 2026-10-01 – presentcompiled-edition

The Division does not require prior approval of hospice services.

801.1. Same Day Services

When individual transfers out of a hospice service to elect another hospice service, the transferring

hospice provider cannot submit a claim for reimbursement for the date of the individual’s transfer to

the other hospice. The hospice provider that admits the transferring individual can claim the

admission date for reimbursement.

When an individual receives another Medicaid covered service and chooses to enroll in hospice

services on the same day, the hospice provider and the other Medicaid service provider will both be

allowed to submit claims for processing to be reimbursed for that day. Similarly, when individual

revokes or is discharged from hospice service and receives services from another Medicaid provider,

the Medicaid provider and the hospice agency will both be allowed to submit claims for processing

to be reimbursed for that day, except for Revenue Code 659, Nursing Facility room and board.

Provenance

Source
www.mmis.georgia.gov
Retrieved
2026-10-01
Edition
pp-hospice-2026-10-01
Content hash
f6abf6a7d7fbe64e7fcfdf80ce4a969044da6e1c23c9f6e2cb65aae97273ce8d
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