Idaho Medicaid Provider Handbook, Home Health and Hospice Services § 4.4.3

Medicaid may authorize personal care services (PCS) for some participants to prevent

unnecessary institutional placement, to provide for the greatest degree of independence

possible, to enhance quality of life, to encourage individual choice, and to maintain community

integration. The hospice must coordinate its hospice aide and homemaker services with the

PCS agency and the regional Medicaid Nurse Reviewer. Medicaid PCS services may not be

substituted for the primary care required to be provided by the hospice provider. See the

Personal Care Services section of the Home and Community-Based Services (HCBS) and Long-Term Support Services (LTSS), Idaho Medicaid Provider Handbook for more information.

(a)

References: Personal Care Services

(i) State Regulations

Medical Assistance Program – Services to be Provided, Idaho Code 56-255(3)(d)(iii) (2018).

Idaho State Legislature,

https://legislature.idaho.gov/statutesrules/idstat/Title56/T56CH2/SECT56-255.

“Medical Necessity (Medically Necessary).” IDAPA 16.03.26, “Medicaid Plan Benefits,” Sec.

006.15. Department of Administration, State of Idaho,

https://adminrules.idaho.gov/rules/current/16/160326.pdf.