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Can a CAP/C recipient also receive Medicaid Hospice Services?

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Can a CAP/C recipient also receive Medicaid Hospice Services?

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It depends on whether the client is at IC, SC, or HC level of care. A client at IC or SC level usually may not receive Medicaid Hospice services because the cost of Hospice causes the client’s home care costs to exceed the CAP/C limit. A CAP/C client at hospital level of care may be able to participate concurrently in Medicaid Hospice and CAP/C; however, the CAP/C case manager and the hospice will have to plan and coordinate services carefully to avoid duplication. REMEMBER: CAP/C cannot provide services that duplicate or replace the care that is the responsibility of the hospice agency.

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Yes, but care will need to be taken to avoid duplication of nursing and case management services.

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