Vt. Medicaid Hospice Provider Manual § 8

Members currently participating in Vermont’s Long-Term Care Medicaid, Choices for Care

program who become eligible for, and in need of Home Health and Hospice services may do so

without prior authorization from the Department of Aging and Independent Living (DAIL). It is the

understanding of both DAIL and the Home Health and Hospice providers that dual participation

will occur under the following conditions:

1. Hospice staff will inform the Choices for Care case manager immediately when a Choices

for Care member is admitted to hospice.

2. Members must continue to meet the criteria for both Choices for Care and hospice

services.

3. Hospice funded services must be maximized and utilized prior to Choices for Care services

(e.g. LNA, Homemaker).

4. When appropriate, the Choices for Care case manager will submit a plan of care change to

reflect any reduction in waiver personal care time for activities that are being provided by

hospice (e.g. bathing, grooming, homemaker). It is the responsibility of the local home

health agency to contact DAIL no later than one week after a Choices for Care member is

admitted to hospice services.

The Hospice Care Plan must be kept in the case management records for Home and Community

Based Choices for Care services.

It is the responsibility of the local home health agency to contact the DAIL no later than one week

after a Choices for Care member is admitted to hospice services. DAIL will track the following

information:

• Member name,

• Agency name,

• Hospice diagnosis,

• Anticipated length of hospice service,

• Hospice admission date,

• Payment source,

• Hospice contact,

• Copy of Hospice Plan

This information must be mailed, faxed or scanned and emailed to DAIL and Choices for Care

case manager. Hospice Admission Form