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Electronic Code of Federal Regulations

e-CFR data is current as of December 12, 2019

Title 42Chapter IVSubchapter BPart 418


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

rule

Subpart A—GENERAL PROVISION AND DEFINITIONS

§418.1
Statutory basis.
§418.2
Scope of part.
§418.3
Definitions.
rule

Subpart B—ELIGIBILITY, ELECTION AND DURATION OF BENEFITS

§418.20
Eligibility requirements.
§418.21
Duration of hospice care coverage—Election periods.
§418.22
Certification of terminal illness.
§418.24
Election of hospice care.
§418.25
Admission to hospice care.
§418.26
Discharge from hospice care.
§418.28
Revoking the election of hospice care.
§418.30
Change of the designated hospice.
rule

Subpart C—CONDITIONS OF PARTICIPATION: PATIENT CARE

§418.52
Condition of participation: Patient's rights.
§418.54
Condition of participation: Initial and comprehensive assessment of the patient.
§418.56
Condition of participation: Interdisciplinary group, care planning, and coordination of services.
§418.58
Condition of participation: Quality assessment and performance improvement.
§418.60
Condition of participation: Infection control.
§418.62
Condition of participation: Licensed professional services.

Core Services

§418.64
Condition of participation: Core services.
§418.66
Condition of participation: Nursing services—Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice.

Non-Core Services

§418.70
Condition of participation: Furnishing of non-core services.
§418.72
Condition of participation: Physical therapy, occupational therapy, and speech-language pathology.
§418.74
Waiver of requirement—Physical therapy, occupational therapy, speech-language pathology, and dietary counseling.
§418.76
Condition of participation: Hospice aide and homemaker services.
§418.78
Conditions of participation—Volunteers.
rule

Subpart D—CONDITIONS OF PARTICIPATION: ORGANIZATIONAL ENVIRONMENT

§418.100
Condition of Participation: Organization and administration of services.
§418.102
Condition of participation: Medical director.
§418.104
Condition of participation: Clinical records.
§418.106
Condition of participation: Drugs and biologicals, medical supplies, and durable medical equipment.
§418.108
Condition of participation: Short-term inpatient care.
§418.110
Condition of participation: Hospices that provide inpatient care directly.
§418.112
Condition of participation: Hospices that provide hospice care to residents of a SNF/NF or ICF/IID.
§418.113
Condition of participation: Emergency preparedness.
§418.114
Condition of participation: Personnel qualifications.
§418.116
Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients.
rule

Subpart E—[RESERVED]

rule

Subpart F—COVERED SERVICES

§418.200
Requirements for coverage.
§418.202
Covered services.
§418.204
Special coverage requirements.
§418.205
Special requirements for hospice pre-election evaluation and counseling services.
rule

Subpart G—PAYMENT FOR HOSPICE CARE

§418.301
Basic rules.
§418.302
Payment procedures for hospice care.
§418.304
Payment for physician, and nurse practitioner, and physician assistant services.
§418.306
Annual update of the payment rates and adjustment for area wage differences.
§418.307
Periodic interim payments.
§418.308
Limitation on the amount of hospice payments.
§418.309
Hospice aggregate cap.
§418.310
Reporting and recordkeeping requirements.
§418.311
Administrative appeals.
§418.312
Data submission requirements under the hospice quality reporting program.
rule

Subpart H—COINSURANCE

§418.400
Individual liability for coinsurance for hospice care.
§418.402
Individual liability for services that are not considered hospice care.
§418.405
Effect of coinsurance liability on Medicare payment.

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