New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 325 - SPECIALTY SERVICES
Part 4 - HOSPICE CARE SERVICES
Section 8.325.4.18 - HOSPICE SERVICES FOR RECIPIENTS IN NURSING FACILITIES
Current through Register Vol. 35, No. 18, September 24, 2024
If a recipient does not have family or friends to provide the necessary care to allow the recipient to remain at home (home does not include an adult foster care setting or a home for the aged), a recipient living in a nursing facility (NF) can elect to receive hospice care. The NF is considered the recipient's place of residence. The NF and the designated hospice must sign a cooperative agreement that the hospice is responsible for the professional management of the recipient's hospice care and the NF provides room and board.
A. Room and board services: The agreement must specify that the NF provides the following room and board services:
B. Reimbursement for nursing facility room and board: For medicaid recipients living in a NF who elect hospice care, medicaid pays the hospice an additional per diem amount for routine home care and continuous home care days for the NF room and board services.
See 42 CFR Section 418.400.