Kan. Medical Assistance Program Hospice Fee-for-Service Provider Manual § 8400, Duration of Coverage

• Hospice coverage must be certified by a physician and may be subdivided into three or more

election periods. For the first period and any subsequent periods, the signed certification

statement must be obtained no later than five calendar days after hospice care is initiated.

• Election to receive hospice care will be considered to continue through the initial election period

and any subsequent election periods without a break in care, under the original signed election

statement, as long as the member remains in the care of the hospice and does not revoke

the election.

• A member may revoke hospice care at any time he or she chooses by filing a document with the

hospice. This document must include a signed statement that the member revokes the election of

Medicaid coverage of hospice care and the date the revocation is effective. The hospice may use

the KMAP website to enter the end date of the hospice assignment or fax a copy of the signed

revocation, decertification statement, or discharge summary to the hospice coordinator at 1-800-

913-2229.

• This information must include:

• Member Medicaid ID number

• Hospice end date

• Signature of the member or his/her legal representative and the certifying physician or

representative of the hospice organization

• Upon revoking the election of Medicaid coverage of hospice care, the member resumes KMAP

coverage of the benefits waived when hospice care was elected.

• A member may change the designation of a particular hospice from which he or she elects to

receive hospice.