Utah Medicaid Provider Manual, Hospice Care Services § 8-9.4

Medicaid does not separately cover modalities for palliative purposes as this is

the responsibility of the hospice agency. For the duration of an election for

hospice care services, an individual waives rights to Medicaid payments for the

following services:

• Hospice care provided by a hospice agency other than the hospice agency

designated by the individual (unless provided under arrangements made

by the designated hospice agency).

• Coverage of services for illnesses or conditions unrelated to the member’s

terminal illness is non-covered through the hospice benefit.

• Such services are covered ancillary to hospice benefits when provided by

an appropriate provider or facility.

• Any Medicaid services that are related to the treatment of the terminal

condition for which hospice care was elected, or a related condition, or

that are equivalent to hospice care except for services provided by:

o The designated hospice agency,

o Another hospice agency under arrangements made by the

designated hospice agency, and

o The individual’s attending QHP if that QHP is not an employee of the

designated hospice agency or receiving compensation from the

hospice agency for those services.