Title 42, Part 418 — Hospice Care
51 sections
Section 418.1
Statutory basis.
Section 418.2
Scope of part.
Section 418.3
Definitions.
Section 418.20
Eligibility requirements.
Section 418.21
Duration of hospice care coverage—Election periods.
Section 418.22
Certification of terminal illness.
Section 418.24
Election of hospice care.
Section 418.25
Admission to hospice care.
Section 418.26
Discharge from hospice care.
Section 418.28
Revoking the election of hospice care.
Section 418.30
Change of the designated hospice.
Section 418.52
Condition of participation: Patient's rights.
Section 418.54
Condition of participation: Initial and comprehensive assessment of the patient.
Section 418.56
Condition of participation: Interdisciplinary group, care planning, and coordination of services.
Section 418.58
Condition of participation: Quality assessment and performance improvement.
Section 418.60
Condition of participation: Infection control.
Section 418.62
Condition of participation: Licensed professional services.
Section 418.64
Condition of participation: Core services.
Section 418.66
Condition of participation: Nursing services—Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice.
Section 418.70
Condition of participation: Furnishing of non-core services.
Section 418.72
Condition of participation: Physical therapy, occupational therapy, and speech-language pathology.
Section 418.74
Waiver of requirement—Physical therapy, occupational therapy, speech-language pathology, and dietary counseling.
Section 418.76
Condition of participation: Hospice aide and homemaker services.
Section 418.78
Conditions of participation—Volunteers.
Section 418.100
Condition of Participation: Organization and administration of services.
Section 418.102
Condition of participation: Medical director.
Section 418.104
Condition of participation: Clinical records.
Section 418.106
Condition of participation: Drugs and biologicals, medical supplies, and durable medical equipment.
Section 418.108
Condition of participation: Short-term inpatient care.
Section 418.110
Condition of participation: Hospices that provide inpatient care directly.
Section 418.112
Condition of participation: Hospices that provide hospice care to residents of a SNF/NF or ICF/IID.
Section 418.113
Condition of participation: Emergency preparedness.
Section 418.114
Condition of participation: Personnel qualifications.
Section 418.116
Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients.
Section 418.200
Requirements for coverage.
Section 418.202
Covered services.
Section 418.204
Special coverage requirements.
Section 418.205
Special requirements for hospice pre-election evaluation and counseling services.
Section 418.301
Basic rules.
Section 418.302
Payment procedures for hospice care.
Section 418.304
Payment for physician, and nurse practitioner, and physician assistant services.
Section 418.306
Annual update of the payment rates and adjustment for area wage differences.
Section 418.307
Periodic interim payments.
Section 418.308
Limitation on the amount of hospice payments.
Section 418.309
Hospice aggregate cap.
Section 418.310
Reporting and recordkeeping requirements.
Section 418.311
Administrative appeals.
Section 418.312
Data submission requirements under the hospice quality reporting program.
Section 418.400
Individual liability for coinsurance for hospice care.
Section 418.402
Individual liability for services that are not considered hospice care.
Section 418.405
Effect of coinsurance liability on Medicare payment.