42 CFR § 418.21 - Duration of hospice care coverage—Election periods.

---
identifier: "/us/cfr/t42/s418.21"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 418.21 - Duration of hospice care coverage—Election periods."
title_number: 42
title_name: "Public Health"
section_number: "418.21"
section_name: "Duration of hospice care coverage—Election periods."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "418"
part_name: "HOSPICE CARE"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302 and 1395hh."
regulatory_source: "48 FR 56026, Dec. 16, 1983, unless otherwise noted."
cfr_part: "418"
---


# 418.21 Duration of hospice care coverage—Election periods.

(a) Subject to the conditions set forth in this part, an individual may elect to receive hospice care during one or more of the following election periods:

(1) An initial 90-day period;

(2) A subsequent 90-day period; or

(3) An unlimited number of subsequent 60-day periods.

(b) The periods of care are available in the order listed and may be elected separately at different times.

[55 FR 50834, Dec. 11, 1990, as amended at 57 FR 36017, Aug. 12, 1992; 70 FR 70546, Nov. 22, 2005]