<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".23" citation="COMAR 10.67.06.23" title_num="10" subtitle_num="67" chapter_num="06" heading="Benefits — Hospice Care Services.">
  <paragraph num="A.">
    <text>An MCO shall include in its benefits package medically necessary hospice care services to enrollees who are terminally ill.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The Department shall allow an enrollee to disenroll from an MCO and choose a new MCO if:</text>
    <paragraph num="(1)">
      <text>The enrollee was auto-assigned to the MCO; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The enrollee's hospice provider does not contract with the enrollee's assigned MCO.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If an enrollee who is in a hospice that does not contract with the enrollee's MCO and the enrollee will not voluntarily choose a new MCO, the enrollee's current MCO:</text>
    <paragraph num="(1)">
      <text>Shall authorize and pay the out-of-network hospice provider at the established Medicaid rate, to ensure continuity of care; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>May not require the hospice care enrollee to change their out-of-network hospice provider to an in-network hospice provider.</text>
    </paragraph>
  </paragraph>
</regulation>