Mich. Medicaid Provider Manual, Hospice § 3.4.A

A beneficiary eligible for hospice may receive hospice services in their home. If the

beneficiary is eligible for hospice services but does not have family or friends to provide

the necessary home care, the beneficiary may live in a residential setting that may

include an Adult Foster Care (AFC) facility, boarding home, Home for the Aged (HFA), or

assisted living facility. The setting must be appropriate for the type of care required by

the beneficiary. Medicaid does not pay room and board in these settings.

Beneficiaries may receive hospice services in these settings. The hospice is responsible

for developing and implementing a coordinated plan of care to avoid duplication of

services. These care settings are available for Medicare, Medicaid, and dually eligible

beneficiaries.