MedicaidCoverageMedium impact
Concurrent Palliative and Curative Care for Children Receiving the Hospice Benefit
Illinois Medicaid - HFS·IL · Palliative Care, Pediatrics, Oncology·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Summary
Medicaid and CHIP eligible children through age 20 can now receive both curative treatment and hospice benefits simultaneously, reversing previous restrictions. This allows continued access to all medical treatments while receiving palliative care services.
Action Required
Immediately: Review any denied claims for pediatric patients (age 20 and under) who were receiving both hospice and curative services since July 2012 - these may now be eligible for reprocessing. Update billing workflows to allow concurrent billing of curative treatments and hospice services for children. For inpatient admissions unrelated to terminal illness, ensure payment denial letter from hospice is attached to claims before submission to Medicaid.