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TITLE 40SOCIAL SERVICES AND ASSISTANCE
PART 1DEPARTMENT OF AGING AND DISABILITY SERVICES
CHAPTER 30MEDICAID HOSPICE PROGRAM
SUBCHAPTER BELIGIBILITY REQUIREMENTS
RULE §30.10Eligibility Requirements

(a) In order to be eligible to elect hospice care under Medicaid, an individual must:

  (1) be certified as Medicaid eligible by the Texas Department of Human Services (DHS) or the Social Security Administration (SSA);

  (2) be certified as being terminally ill in accordance with §30.14 of this title (relating to Certification of Terminal Illness); and

  (3) have an identified need documented on the comprehensive assessment for one or more of the following:

    (A) medical care;

    (B) skilled nursing care related to the management of pain and symptom control;

    (C) medical social services; or

    (D) emotional or spiritual care.

(b) If dually eligible, the recipient must elect the hospice benefit under both the Medicare and Medicaid programs.


Source Note: The provisions of this §30.10 adopted to be effective March 1, 2001, 26 TexReg 1549

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