Common use of Hospice Services Clause in Contracts

Hospice Services. In accordance with 1905(o)(3)(C), 1902(a)(13)(B) and 1902(a)(32) of the Act, and 42 CFR 447.10, the MCP shall pay room and board payments to the hospice provider instead of the nursing facility if the member resides in a nursing facility and is receiving hospice services. Room and board payments to the hospice provider must be at least 95% of the nursing facility rate.

Appears in 2 contracts

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan

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Hospice Services. In accordance with 1905(o)(3)(C), 1902(a)(13)(B) and 1902(a)(32) of the Act, and 42 CFR 447.10, the MCP MCOP shall pay room and board payments to the hospice provider instead of the nursing facility if the member resides in a nursing facility and is receiving hospice services. Room and board payments to the hospice provider providers must be at least 95% of the nursing facility rate.

Appears in 2 contracts

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

Hospice Services. In accordance with 1905(o)(3)(C), 1902(a)(13)(B) and 1902(a)(32) of the Act, and 42 CFR 447.10, the MCP MCOP shall pay room and board payments to the hospice provider instead of the nursing facility if the member resides in a nursing facility and is receiving hospice services. Room and board payments to the hospice provider must be at least 95% of the nursing facility rate.

Appears in 2 contracts

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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Hospice Services. In accordance with 1905(o)(3)(C), 1902(a)(13)(B) and 1902(a)(32) of the Act, and 42 CFR 447.10, the MCP shall pay room and board payments to the hospice provider instead of the nursing facility if the member resides in a nursing facility and is receiving hospice services. Room and board payments to the hospice provider must be at least 95% of the nursing facility rate.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan

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