1. (a) No medicaid payments shall be made directly to a residential care or nursing facility.

2. (b) When hospice services are provided to a recipient residing in a nursing facility, the hospice provider shall:

   1. (1) Bill for, in addition to routine or continuous home care, room, and board; and
   2. (2) Be reimbursed by medicaid at a room and board rate which is, in accordance with 42 U.S.C. 1396d, at least 95% of the per diem rate that would have been paid to the nursing facility for the recipient for the same dates of service under rates established in accordance with He-P 803.

Source. #9726-A, eff 7-1-10, EXPIRED: 7-1-18 New. (See Revision Note at part heading for He-W 544) #13847, eff 1-6-24 (formerly He-W 544.15)