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Manual Updates for Clarification on Services Under the Medicare Hospice Benefit for Dually Eligible Veterans

The purpose of this Change Request (CR) is to update the Medicare Benefit Policy Manual, (Pub. 100-02), Chapter 9 to clarify that although, upon electing the Medicare hospice benefit, the beneficiary waives the right to Medicare payment for any Medicare services related to the terminal illness and related conditions during a hospice election. However, this does not preclude Veteran’s eligible beneficiaries from receiving services not included on the hospice plan of care, and which are furnished and paid under the beneficiary’s VA benefits, in addition to Medicare hospice services.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 25, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.