When a dually-eligible hospice recipient is admitted into a SNF bed, does Medicaid room and board end?
Yes. Medicaid room and board ends when the dually-eligible hospice recipient is admitted into a SNF bed. How do the SNF payments work for the dually-eligible hospice recipient? If the medical condition is Medicare approved, Medicare pays the first 20 days at 100%. Beginning the 21st day the Texas Department of Human Services (DHS) TDH Connect/National Heritage Insurance Corporation (NHIC) will pay a 20% deductible coinsurance rate. This is paid up to 80 days or upon discharge from the SNF bed paid for by Medicare, whichever occurs first. The rate is the same for all individuals. What forms need to be completed upon admission of a dually-eligible hospice recipient into a SNF bed? Upon admission into a SNF bed, the NF submits a Medicare/SNF Transaction Notice (Form 3619). The Texas Index for Level of Effort (Form 3652) is not required during this period of time. The hospice provider MUST submit the Texas Medicaid/Medicare Hospice Election/Cancellation/Discharge Notice (FORM 3071) to DHS,
