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