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Code of Federal Regulations (Last Updated: November 8, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 418 - Hospice Care |
| 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 |
| § 418.50 - Condition of participation—General provisions. |
| § 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. |
| § 418.68 - Condition of participation—Interdisciplinary group. |
| 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. |
| 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. |
| Subpart D - Conditions of participation: Organizational Environment |
| § 418.80 - Condition of participation—Furnishing of core services. |
| § 418.82 - Condition of participation—Nursing services. |
| § 418.83 - Nursing services—Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice. |
| § 418.84 - Condition of participation—Medical social services. |
| § 418.86 - Condition of participation—Physician services. |
| § 418.88 - Condition of participation—Counseling services. |
| § 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 - XXX |
| § 418.90 - Condition of participation—Furnishing of other services. |
| § 418.92 - Condition of participation—Physical therapy, occupational therapy, and speech-language pathology. |
| § 418.94 - Condition of participation—Home health aide and homemaker services. |
| § 418.96 - Condition of participation—Medical supplies. |
| § 418.98 - Condition of participation—Short term inpatient care. |
| 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. |