Mich. Medicaid Provider Manual, Hospice § 6.10

Home Help services may be available to the hospice beneficiary living at home (e.g., not residing in a

hospice residence, NF, AFC, etc.). It is important that hospice services be utilized first, prior to Home

Help services. Home Help services may be in addition to hospice care and must not duplicate hospice

services. Home Help services include assistance with ADL, IADL, and complex care tasks. Some

examples of when these services are appropriate are:

• The caregiver is too frail or otherwise unable to provide all of the needed personal care.

• There is no unpaid caregiver available and the beneficiary wishes to remain at home.

• The beneficiary is new to hospice but has been receiving personal care services through Home

Help.

The hospice must contact the beneficiary’s MDHHS adult services worker or ask for the assignment of an

adult services worker if the beneficiary does not already have one. The adult services worker determines

which personal care services may be provided in addition to hospice care. This determination may

require the hospice to submit a POC for the worker’s review.

If hospice services duplicate or replace personal care services, payment is not

approved for Home Help.