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MEDICAID HOSPICE ELECTION State Form 48737 (R / 11-04) / MPP 0005 The information contained on this completed form is CONFIDENTIAL according to 405 IAC 1-16, 5-2-10.1, 5-2-10.2, 5-5-1, and 5-34. Effective
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How to fill out maryland medicaid hospice benefit

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How to fill out Maryland Medicaid hospice benefit?

01
Gather the necessary documents and information: You will need to gather documents such as proof of income, identification, proof of residency, and medical documents related to your terminal illness. Contact your local Medicaid office to obtain a list of required documents.
02
Complete the application form: Fill out the Maryland Medicaid hospice benefit application form accurately and completely. Take your time to ensure all sections are filled out correctly.
03
Provide supporting documentation: Attach all the necessary supporting documents as requested on the application form. This may include medical records, income verification, and identification.
04
Submit the completed application: Submit the completed application and all supporting documents to your local Medicaid office in person, by mail, or online if available.
05
Follow up: After submitting your application, follow up with the Medicaid office to ensure that they have received it and to inquire about the status of your application. Be prepared to provide any additional information that may be requested.

Who needs Maryland Medicaid hospice benefit?

01
Individuals with terminal illnesses: Maryland Medicaid hospice benefit is intended for individuals who have been diagnosed with a terminal illness and have a life expectancy of six months or less.
02
Individuals with low income: The benefit is available to individuals who meet the income and asset eligibility requirements set by Maryland Medicaid.
03
Individuals who require hospice care: The Medicaid hospice benefit provides coverage for a variety of services, including palliative care, pain management, counseling, and support for both the patient and their family members.
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Maryland Medicaid hospice benefit is a program that provides end-of-life care and support services for eligible individuals with terminal illnesses.
To be eligible for Maryland Medicaid hospice benefit, individuals must meet certain criteria including having a terminal illness, being certified as terminally ill by a physician, and choosing to receive hospice care instead of other forms of medical treatment.
To apply for Maryland Medicaid hospice benefit, individuals must complete and submit an application form along with the required documentation such as medical records, certification of terminal illness, and proof of income.
The purpose of Maryland Medicaid hospice benefit is to provide compassionate and comprehensive care to individuals who are in the final stages of life, ensuring their comfort and dignity while respecting their wishes.
The information that must be reported on Maryland Medicaid hospice benefit includes the individual's personal details, medical history, diagnosis, treatment plan, and the expected duration of hospice care.
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