Hospice News March 3, 2025
Stymied Medicaid reimbursement for nursing home room and board could threaten access to care for hospice patients in California and possibly other states.
The issue centers around patients in nursing homes who are dually eligible for Medicare and Medicaid. When caring for patients in nursing homes, hospices typically pay for their room and board with the expectation that they will be reimbursed by Medicaid for those expenses.
Medi-Cal, California’s Medicaid program, is among the states that shifted management of its safety net health coverage to health plans. Under this system, Medi-Cal pays the health plans who then pass payments on to the providers. However, due to confusion among managed care plans that oversee Medicaid in most states, those hospices are...