MedicaidAdministrativeMedium impact
Use of Hospice and 1915(c) HCBS Waivers
Kentucky Medicaid·KY · Palliative Care·Provider Letter
Effective date
Jul 30, 2020
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid clarifies that participants in 1915(c) Home and Community Based Services waivers can simultaneously receive hospice care, but services cannot be duplicative. All waiver services for participants also receiving hospice require DMS override approval, with detailed documentation required for Attendant Care services.
Action Required
For Kentucky Medicaid patients: When billing waiver services for participants also receiving hospice, submit all claims and documentation to 1915cWaiverHelpDesk@ky.gov for DMS override approval. For Attendant Care services specifically, include detailed notes demonstrating no duplication with hospice services. Contact waiver help desk at (844) 784-5614 for questions before billing.