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