UT · guidance
Utah Medicaid Provider Manual, Hospice Care Services § 3-1
Provider Credentials
A hospice agency must have a valid Medicaid enrollment in place in order to be
reimbursed for hospice care services provided to Medicaid members. The
effective date will be the date a complete application has been submitted in
PRISM, unless the hospice agency requests an earlier effective date to align with
the date of Medicare hospice certification. Even if a provider requests retroactive
enrollment, Medicaid will only approve retroactive enrollment up to 120 days
earlier than the date when the complete Medicaid application is submitted.
At the time of a change of ownership, the previous owner's provider agreement
terminates as of the effective date of the change of ownership. Medicaid accepts
all waivers granted to hospice agencies by the Centers for Medicare and
Medicaid Services as part of the Medicare certification process.
Provenance
- Source
- medicaid-documents.dhhs.utah.gov
- Retrieved
- 2026-10-02
- Edition
- mpm-hospice-2026-01-01
- Content hash
908cffb33bfd048c5f7832477e6968cc66f560f360ff7a93d67370a950102af9
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