CMS SOM App. M, Tag L636

with the Medicaid personal care benefit to ensure the patient receives the hospice

aide and homemaker services he or she needs.

Interpretive Guidelines §418.76(i)(3)

It is up to the State to define the optional Medicaid State Plan personal care services

benefit and to determine if the benefit is more extensive than the homemaker/hospice

aide benefit provided under the Medicare hospice benefit. If the Medicaid personal care

services benefit is more extensive than what is offered under the Medicare hospice

benefit, proper coordination of services must occur. In this instance, the State must pay

for covered Medicaid personal care services that exceed the scope of the Medicare

hospice benefit when a need for those personal care services is indicated in the patient’s

hospice plan of care.