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17.2 Benefits and Limitations
The CSHCN Services Program may reimburse for hospice services for clients.
Hospice care includes palliative care for clients with a prognosis of six months or less.
Services must be related to palliative care for the terminal diagnosis and may include any or all of the following services: direct care, respite, durable medical equipment, supplies, and medications prescribed for the terminal illness.
Direct care services may include:
• Skilled nursing services.
•Social work services.
•Home health aide services.
•Pastoral care services.
•Medical supervision by the Hospice medical director.
•Physical therapy and occupational therapy.
•Speech language pathology services.
•Dietitian services.
The hospice benefit does not cover curative care for the terminal diagnosis.
Coverage for conditions unrelated to the terminal illness is unaffected.
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