Medicare Hospice Coverage Across State Lines

Facing a serious illness is one of life’s most profound challenges. When the need to relocate arises during this time—whether to be closer to family or for a change in living arrangements—it can add another layer of stress and uncertainty. A common question for families is: “What happens to our hospice care if we move to another state?”

Fortunately, for those who rely on it, the Medicare hospice benefit is a national program. This means your essential coverage is portable and designed to travel with you. While the core benefits remain the same, the process of transferring care requires careful coordination to ensure a seamless transition.

This guide explains how Medicare hospice coverage works across state lines, what to expect during a move, and how to manage the transfer process with confidence and peace of mind.

Your Medicare Hospice Coverage Moves With You

The Medicare hospice benefit, covered under Medicare Part A, provides a consistent, federally defined set of services to patients with a terminal illness, regardless of their location in the United States. As long as you continue to meet the eligibility criteria, your entitlement to these services does not change when you cross a state line.

According to the Centers for Medicare & Medicaid Services (CMS), the comprehensive plan of care created by your hospice team can include a wide range of support. Core services that remain covered after a move include:

  • Doctor and nursing care
  • Medical equipment (such as hospital beds or walkers)
  • Medical supplies (like bandages and catheters)
  • Prescription drugs for pain and symptom management
  • Hospice aide and homemaker services
  • Physical, occupational, and speech therapy
  • Social worker services and dietary counseling
  • Grief and loss counseling for the patient and family
  • Short-term inpatient and respite care

The fundamental promise of hospice—to provide comfort, dignity, and quality of life—is upheld by Medicare in every state. You will not lose your benefits or have to re-qualify simply because you are relocating.

What Stays the Same vs. What Changes When Relocating

While your Medicare coverage is constant, the logistics of your care will naturally change. Understanding this distinction is key to a smooth transition.

What Stays the Same:

Core Services and Coverage: As listed above, the full suite of Medicare-mandated hospice services will be available from your new provider. You will continue to pay nothing for hospice care from a Medicare-approved provider.

Patient-Centered Philosophy: Every Medicare-certified hospice is required to deliver care based on federal standards that prioritize the patient’s comfort and wishes. The focus on managing symptoms and supporting the family remains the central goal.

Your Right to Choose: You always have the right to choose which Medicare-certified hospice provider you want to use in your new location.

What Changes:

Your Local Care Team: The most significant change will be your hospice provider and care team. You will need to officially transfer from your current hospice to a new, licensed provider in your new state. This means a new team of nurses, aides, social workers, and physicians will oversee your care.

State-Specific Regulations: While Medicare sets the national standards, some states may have additional licensing rules or reciprocity agreements that affect how hospices operate across borders. A coordinated transfer ensures all state and federal requirements are met without interrupting your care.

Local Networks: Your new hospice agency will have its own network and arrangements for medical supply companies, pharmacies, and inpatient facilities for respite or acute symptom management.

How to Coordinate a Hospice Transfer Between States

A successful transfer is all about clear communication and proactive planning. By following a few key steps, families can ensure continuity of care and minimize stress during a move.

  1. Notify Your Current Hospice Team Immediately: As soon as you know a move is happening, inform your hospice nurse, social worker, or case manager. Provide them with your new address and the expected moving date. The more advance notice you give, the more time they have to help you plan.
  2. Identify and Select a New Provider: Your current hospice team can be an excellent resource for finding a high-quality, Medicare-certified hospice in your new state. If you are moving between Ohio, Indiana, and Pennsylvania, choosing a provider like ViaQuest that operates in all three states can dramatically simplify the process.
  3. Complete the Official Transfer Process: Your current hospice will coordinate directly with the new agency. They will transfer your medical records, current plan of care, and other vital information. You or your legal representative will sign a “transfer form” that officially discharges you from the old provider and another form to admit you to the new one.
  4. Schedule the First Visit: The new hospice team should schedule an admission visit on or very shortly after your arrival. This visit ensures there are no gaps in care, medications are available, and any necessary medical equipment is delivered and set up in your new home.

Seamless Transitions with ViaQuest in Ohio, Indiana, and Pennsylvania

For families moving within the tri-state area of Ohio, Indiana, and Pennsylvania, ViaQuest Hospice offers a significant advantage. Because we are an established and trusted provider in all three states, we can facilitate an internal, seamless transfer of care. Our teams work together across state lines to coordinate every detail, from medical records to equipment delivery.

This continuity removes the burden of finding and vetting a new, unknown agency. You can move with the confidence that the same high standard of compassionate, person-centered care you’ve come to expect will be waiting for you at your new home.

Navigating a move while managing a serious illness requires compassionate, expert coordination. If you are planning a move to, from, or between Ohio, Indiana, or Pennsylvania, our team can help ensure a seamless transition of care. For expert guidance on coordinating multi-state hospice benefits, please call ViaQuest Hospice at 855.289.1722.

You can also explore our Complete Guide to Hospice Care for more information on the support available to you and your family.

Key Takeaways

  • Medicare’s hospice benefit is a national program, ensuring your core coverage for services remains consistent even if you move to another state.
  • When you move, you must officially transfer from your current hospice provider to a new, Medicare-certified provider in your new location.
  • Early communication with your current hospice team is crucial for a smooth transition of medical records, care plans, and services.

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General Inpatient Care (GIP)

 Covered by Medicare, Medicaid, and many private insurance plans, this level involves moving you to a contracted hospital, hospice house, inpatient unit, or specialized nursing facility bed. This is used for acute symptom management that cannot be effectively achieved in your home setting, with treatment strictly focused on symptoms related to your hospice diagnosis, demonstrating our determination in ensuring optimal comfort and peaceful transitions.

Inpatient Respite Care (IRC)

Provided at a contracted nursing facility for up to five days, Inpatient Respite Care offers temporary relief for your primary caregiver—giving them the rest they need while ensuring you receive continuous expert hospice care. This level of care offers pure relief and peace of mind for families.

Continuous Home Care (CHC)

When a patient experiences a period of crisis with severe symptoms (such as uncontrolled pain or acute shortness of breath), Continuous Home Care can be provided. This involves a higher level of skilled nursing care delivered continuously in the home for a short period (typically 8-24 hours per day) until the crisis is resolved, showcasing our team’s resolute commitment and dedication to restoring comfort and stability.

Routine Home Care (RHC)

This is the most common level of hospice care, provided in the patient’s chosen residence—your own home, a nursing facility, an assisted living facility, or a hospice house. It includes intermittent visits from our hospice team (nurses, aides, social workers, chaplains, volunteers) to provide symptom management, personal care, emotional support, and education for caregivers, delivered with gentle guidance and a focus on maximizing daily comfort and quality of life in familiar surroundings.