Title 42

PART 418

Part 418 - Hospice Care

PART 418 - HOSPICE CARE Authority:42 U.S.C. 1302 and 1395hh. Source:48 FR 56026, Dec. 16, 1983, unless otherwise noted.

42:3.0.1.1.5.1SUBPART A
Subpart A - General Provision and Definitions
42:3.0.1.1.5.1.7.1SECTION 418.1
   418.1 Statutory basis.
42:3.0.1.1.5.1.7.2SECTION 418.2
   418.2 Scope of part.
42:3.0.1.1.5.1.7.3SECTION 418.3
   418.3 Definitions.
42:3.0.1.1.5.2SUBPART B
Subpart B - Eligibility, Election and Duration of Benefits
42:3.0.1.1.5.2.7.1SECTION 418.20
   418.20 Eligibility requirements.
42:3.0.1.1.5.2.7.2SECTION 418.21
   418.21 Duration of hospice care coverage - Election periods.
42:3.0.1.1.5.2.7.3SECTION 418.22
   418.22 Certification of terminal illness.
42:3.0.1.1.5.2.7.4SECTION 418.24
   418.24 Election of hospice care.
42:3.0.1.1.5.2.7.5SECTION 418.25
   418.25 Admission to hospice care.
42:3.0.1.1.5.2.7.6SECTION 418.26
   418.26 Discharge from hospice care.
42:3.0.1.1.5.2.7.7SECTION 418.28
   418.28 Revoking the election of hospice care.
42:3.0.1.1.5.2.7.8SECTION 418.30
   418.30 Change of the designated hospice.
42:3.0.1.1.5.3SUBPART C
Subpart C - Conditions of Participation: Patient Care
42:3.0.1.1.5.3.7SUBJGRP 7
   Core Services
42:3.0.1.1.5.3.7.1SECTION 418.52
   418.52 Condition of participation: Patient's rights.
42:3.0.1.1.5.3.7.2SECTION 418.54
   418.54 Condition of participation: Initial and comprehensive assessment of the patient.
42:3.0.1.1.5.3.7.3SECTION 418.56
   418.56 Condition of participation: Interdisciplinary group, care planning, and coordination of services.
42:3.0.1.1.5.3.7.4SECTION 418.58
   418.58 Condition of participation: Quality assessment and performance improvement.
42:3.0.1.1.5.3.7.5SECTION 418.60
   418.60 Condition of participation: Infection control.
42:3.0.1.1.5.3.7.6SECTION 418.62
   418.62 Condition of participation: Licensed professional services.
42:3.0.1.1.5.3.7.7SECTION 418.64
   418.64 Condition of participation: Core services.
42:3.0.1.1.5.3.7.8SECTION 418.66
   418.66 Condition of participation: Nursing services - Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice.
42:3.0.1.1.5.3.8SUBJGRP 8
   Non-Core Services
42:3.0.1.1.5.3.8.9SECTION 418.70
   418.70 Condition of participation: Furnishing of non-core services.
42:3.0.1.1.5.3.8.10SECTION 418.72
   418.72 Condition of participation: Physical therapy, occupational therapy, and speech-language pathology.
42:3.0.1.1.5.3.8.11SECTION 418.74
   418.74 Waiver of requirement - Physical therapy, occupational therapy, speech-language pathology, and dietary counseling.
42:3.0.1.1.5.3.8.12SECTION 418.76
   418.76 Condition of participation: Hospice aide and homemaker services.
42:3.0.1.1.5.3.8.13SECTION 418.78
   418.78 Conditions of participation - Volunteers.
42:3.0.1.1.5.4SUBPART D
Subpart D - Conditions of participation: Organizational Environment
42:3.0.1.1.5.4.9.1SECTION 418.100
   418.100 Condition of Participation: Organization and administration of services.
42:3.0.1.1.5.4.9.2SECTION 418.102
   418.102 Condition of participation: Medical director.
42:3.0.1.1.5.4.9.3SECTION 418.104
   418.104 Condition of participation: Clinical records.
42:3.0.1.1.5.4.9.4SECTION 418.106
   418.106 Condition of participation: Drugs and biologicals, medical supplies, and durable medical equipment.
42:3.0.1.1.5.4.9.5SECTION 418.108
   418.108 Condition of participation: Short-term inpatient care.
42:3.0.1.1.5.4.9.6SECTION 418.110
   418.110 Condition of participation: Hospices that provide inpatient care directly.
42:3.0.1.1.5.4.9.7SECTION 418.112
   418.112 Condition of participation: Hospices that provide hospice care to residents of a SNF/NF or ICF/IID.
42:3.0.1.1.5.4.9.8SECTION 418.113
   418.113 Condition of participation: Emergency preparedness.
42:3.0.1.1.5.4.9.9SECTION 418.114
   418.114 Condition of participation: Personnel qualifications.
42:3.0.1.1.5.4.9.10SECTION 418.116
   418.116 Condition of participation: Compliance with Federal, State, and local laws and regulations related to the health and safety of patients.
42:3.0.1.1.5.5SUBPART E
Subpart E [Reserved]
42:3.0.1.1.5.6SUBPART F
Subpart F - Covered Services
42:3.0.1.1.5.6.9.1SECTION 418.200
   418.200 Requirements for coverage.
42:3.0.1.1.5.6.9.2SECTION 418.202
   418.202 Covered services.
42:3.0.1.1.5.6.9.3SECTION 418.204
   418.204 Special coverage requirements.
42:3.0.1.1.5.6.9.4SECTION 418.205
   418.205 Special requirements for hospice pre-election evaluation and counseling services.
42:3.0.1.1.5.7SUBPART G
Subpart G - Payment for Hospice Care
42:3.0.1.1.5.7.9.1SECTION 418.301
   418.301 Basic rules.
42:3.0.1.1.5.7.9.2SECTION 418.302
   418.302 Payment procedures for hospice care.
42:3.0.1.1.5.7.9.3SECTION 418.304
   418.304 Payment for physician, and nurse practitioner, and physician assistant services.
42:3.0.1.1.5.7.9.4SECTION 418.306
   418.306 Annual update of the payment rates and adjustment for area wage differences.
42:3.0.1.1.5.7.9.5SECTION 418.307
   418.307 Periodic interim payments.
42:3.0.1.1.5.7.9.6SECTION 418.308
   418.308 Limitation on the amount of hospice payments.
42:3.0.1.1.5.7.9.7SECTION 418.309
   418.309 Hospice aggregate cap.
42:3.0.1.1.5.7.9.8SECTION 418.310
   418.310 Reporting and recordkeeping requirements.
42:3.0.1.1.5.7.9.9SECTION 418.311
   418.311 Administrative appeals.
42:3.0.1.1.5.7.9.10SECTION 418.312
   418.312 Data submission requirements under the hospice quality reporting program.
42:3.0.1.1.5.8SUBPART H
Subpart H - Coinsurance
42:3.0.1.1.5.8.9.1SECTION 418.400
   418.400 Individual liability for coinsurance for hospice care.
42:3.0.1.1.5.8.9.2SECTION 418.402
   418.402 Individual liability for services that are not considered hospice care.
42:3.0.1.1.5.8.9.3SECTION 418.405
   418.405 Effect of coinsurance liability on Medicare payment.