42 CFR Part 418
PART 418—HOSPICE CARE
- PART 418—HOSPICE CARE
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter B—Medicare Program
- Subpart A—General Provision and Definitions
- § 418.1 Statutory basis.
- § 418.2 Scope of part.
- § 418.3 Definitions.
- 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.
- 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.
- 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.
- Subpart E [Reserved]
- 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.
- 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.
- 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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