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.