e-CFR data is current as of March 4, 2021
TITLE 42—Public Health
CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) SUBCHAPTER B—MEDICARE PROGRAM (CONTINUED) PART 418—HOSPICE CARE
Subpart A—GENERAL PROVISION AND DEFINITIONS
Subpart B—ELIGIBILITY, ELECTION AND DURATION OF BENEFITS
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| Eligibility requirements. |
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| Duration of hospice care coverage—Election periods. |
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| Certification of terminal illness. |
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| Election of hospice care. |
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| Admission to hospice care. |
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| Discharge from hospice care. |
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| Revoking the election of hospice care. |
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| Change of the designated hospice. |
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Subpart C—CONDITIONS OF PARTICIPATION: PATIENT CARE
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| Condition of participation: Patient's rights. |
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| Condition of participation: Initial and comprehensive assessment of the patient. |
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| Condition of participation: Interdisciplinary group, care planning, and coordination of services. |
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| Condition of participation: Quality assessment and performance improvement. |
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| Condition of participation: Infection control. |
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| Condition of participation: Licensed professional services. |
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Core Services
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| Condition of participation: Core services. |
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| Condition of participation: Nursing services—Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice. |
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Non-Core Services
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| Condition of participation: Furnishing of non-core services. |
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| Condition of participation: Physical therapy, occupational therapy, and speech-language pathology. |
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| Waiver of requirement—Physical therapy, occupational therapy, speech-language pathology, and dietary counseling. |
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| Condition of participation: Hospice aide and homemaker services. |
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| Conditions of participation—Volunteers. |
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Subpart D—CONDITIONS OF PARTICIPATION: ORGANIZATIONAL ENVIRONMENT
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| Condition of Participation: Organization and administration of services. |
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| Condition of participation: Medical director. |
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| Condition of participation: Clinical records. |
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| Condition of participation: Drugs and biologicals, medical supplies, and durable medical equipment. |
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| Condition of participation: Short-term inpatient care. |
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| Condition of participation: Hospices that provide inpatient care directly. |
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| Condition of participation: Hospices that provide hospice care to residents of a SNF/NF or ICF/IID. |
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| Condition of participation: Emergency preparedness. |
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| Condition of participation: Personnel qualifications. |
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| Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients. |
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Subpart E—[RESERVED]
Subpart F—COVERED SERVICES
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| Requirements for coverage. |
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| Special coverage requirements. |
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| Special requirements for hospice pre-election evaluation and counseling services. |
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Subpart G—PAYMENT FOR HOSPICE CARE
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| Payment procedures for hospice care. |
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| Payment for physician, and nurse practitioner, and physician assistant services. |
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| Annual update of the payment rates and adjustment for area wage differences. |
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| Periodic interim payments. |
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| Limitation on the amount of hospice payments. |
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| Reporting and recordkeeping requirements. |
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| Data submission requirements under the hospice quality reporting program. |
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Subpart H—COINSURANCE
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| Individual liability for coinsurance for hospice care. |
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| Individual liability for services that are not considered hospice care. |
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| Effect of coinsurance liability on Medicare payment. |
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