NY · guidance
N.Y. Medicaid Hospice Program Manual Policy Guidelines, Section II, Mainstream Managed Care
Mainstream Managed Care
Hospice services were added as a covered benefit as of October 1, 2013 to the
Mainstream managed care benefit package, including HIV Special Needs Plan, and
Health and Recovery Plan (HARP). This means that individuals who are enrolled in a
Mainstream managed care and elect hospice can remain enrolled in Mainstream
managed care. Whereas individuals enrolled in the Medicaid fee-for-service program and
elect hospice would not be eligible for managed care and would remain under the
Medicaid fee-for-service program (per diem reimbursement) for the duration of their
approved hospice services.
More information on the Mainstream managed care hospice coverage can be found at:
https://www.health.ny.gov/health_care/medicaid/redesign/trans_hospice_manage_care.h
tm
Provenance
- Source
- www.emedny.org
- Retrieved
- 2026-10-01
- Edition
- emedny-hospice-2024-01-01
- Content hash
00e841aa8161b8bd513e9769fdfab75a10b3946620e97ef38dcb3c0948f84406
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