Concurrent care is for all children with a life-limiting diagnosis to continue to receive curative or life-prolonging treatment along with hospice care, avoiding the impossible choice between life-prolonging and hospice care.

On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) into law enacting a new provision, Section 2302, termed the “Concurrent Care for Children” Requirement (CCCR). CCCR requires state Medicaid programs to pay for both curative, live prolonging treatment and hospice services for children under the age of 21 who qualify.

Prior to the ACA, both children and adults had to have (1) a 6-month prognosis and (2) forego any life-prolonging, curative treatments to enroll in hospice. With concurrent care, pediatric patients must still meet the 6-month prognosis, but do not have to choose between life-prolonging, curative care and hospice. Life prolonging treatments are any therapies, medications, equipment, or modalities related to the serious illness which may postpone a child’s death.

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