NC · guidance
N.C. Medicaid Clinical Coverage Policy No. 3D § 5.9
Medicaid Eligibility and Benefit Period Coordination
When a beneficiary becomes ineligible for Medicaid while receiving hospice services or
goes into a deductible status, the following apply:
a. If the beneficiary remained on hospice throughout the ineligible Medicaid period,
there is no change in the benefit period status. The hospice charges are applied toward
any deductible.
b. If the beneficiary discontinues hospice coverage when becoming ineligible for
Medicaid, the situation is handled like a revocation. The beneficiary forfeits any
remaining days in the current benefit period and enters the next benefit period if re-
electing hospice after Medicaid eligibility is restored.
Provenance
- Source
- medicaid.ncdhhs.gov
- Retrieved
- 2026-10-01
- Edition
- ccp-3d-2024-03-15
- Content hash
3a1cd4b565978a12d8b374af0e86b4fec2437e8ddb146bc7e8b052ffac1107a4
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