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42 C.F.R. PART 418--HOSPICE CARE

TITLE 42--Public Health

CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER B--MEDICARE PROGRAM

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--GENERAL PROVISIONS AND ADMINISTRATION

�418.50

Condition of participation--General provisions.

�418.52

Condition of participation--Governing body.

�418.54

Condition of participation--Medical director.

�418.56

Condition of participation--Professional management.

�418.58

Condition of participation--Plan of care.

�418.60

Condition of participation--Continuation of care.

�418.62

Condition of participation--Informed consent.

�418.64

Condition of participation--Inservice training.

�418.66

Condition of participation--Quality assurance.

�418.68

Condition of participation--Interdisciplinary group.

�418.70

Condition of participation--Volunteers.

�418.72

Condition of participation--Licensure.

�418.74

Condition of participation--Central clinical records.

Subpart D--CONDITIONS OF PARTICIPATION: CORE SERVICES

�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.

Subpart E--CONDITIONS OF PARTICIPATION: OTHER SERVICES

�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.

�418.100

Condition of participation Hospices that provide inpatient care directly.

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 services.

�418.306

Determination of payment rates.

�418.307

Periodic interim payments.

�418.308

Limitation on the amount of hospice payments.

�418.309

Hospice cap amount.

�418.310

Reporting and recordkeeping requirements.

�418.311

Administrative appeals.

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.