Utah Medicaid Provider Manual, Hospice Care Services § 2

Information specific to Managed Care Entities (MCE) can be found in Section I:

General Information, Chapter 2: Health Plans.

For more information about Prepaid Mental Health Plans (PMHP), refer to

Section I: General Information, Chapter 2-1.2, Prepaid Mental Health Plans, and

the Behavioral Health Services Manual.

For information regarding Managed Care Entities (MCE) and how to verify if a

Medicaid member is enrolled in an MCE, refer to Section I: General Information,

Chapter 1-7: Fee for Service and Managed Care.

A list of MCEs and PMHPs with which Medicaid has a contract to provide health

care services is found on the Medicaid website Managed Care: Accountable Care

Organizations.

If a member is enrolled in a MCE and has elected hospice care before being

admitted to a nursing facility or ICF/ID, the MCE is responsible to reimburse the

hospice agency for both the hospice care and the room and board until the

member is disenrolled from the MCE.