Mich. Medicaid Provider Manual, Hospice § 7.1

If a beneficiary is dually enrolled in Medicare and Medicaid, they must receive hospice coverage under

the Medicare benefit. (Medicaid is the payer of last resort.) If the beneficiary resides in a NF, Medicare

may pay hospice services, with NF room and board paid for by Medicaid. When a beneficiary is receiving

services through the Medicare hospice benefit, Medicaid does not pay for curative or duplicative services.

The hospice provider must complete the admission in CHAMPS prior to submission of a Medicaid claim

(i.e., coinsurance, deductibles, and room and board in the NF or hospice-owned NF). The hospice

provider must also complete the beneficiary’s discharge (voluntary or involuntary) or upon notification of

the beneficiary’s demise. (Refer to other applicable Sections for details regarding admission and

discharge guidelines.)

If the hospice benefit is revoked under Medicare, the beneficiary cannot use the Medicaid hospice benefit

as a replacement. Hospices should carefully explain this situation to the dually eligible beneficiary,

especially during the fourth Medicare benefit period.* However, if the dually eligible beneficiary is no

longer appropriate for hospice care and is discharged as a hospice beneficiary, that beneficiary is eligible

for re-admittance with the hospice for the Medicaid benefit period if they become eligible for hospice

again.