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UT · guidance

Utah Medicaid Provider Manual, Hospice Care Services § 8-9.3

Dual eligibility

activein force · 2026-01-01 – presentcompiled-edition

A member dually enrolled in Medicare and Medicaid must elect the hospice

benefit for both Medicare and Medicaid in accordance with 42 CFR 418.21 and

418.24. The member must receive hospice coverage under Medicare primarily.

Election for the Medicaid hospice benefit provides the member coverage for

Medicare coinsurance and room and board expenses while admitted to a

Medicare-certified nursing facility, intermediate care facility for people with an

intellectual disability (ICF/ID), or freestanding hospice facility.

Provenance

Source
medicaid-documents.dhhs.utah.gov
Retrieved
2026-10-02
Edition
mpm-hospice-2026-01-01
Content hash
fce4d59c2bb1565f6a1fc6bf54391e029e1b7ca60345bb21e04e526cc011192c
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