Medicare Claims Processing Manual (Pub. 100-04), Ch. 11 § 110
Payment Procedures for Terminated Hospices
110 Payment Procedures for Terminated Hospices
(Rev. 13190; Issued: 04-24-25; Effective: 10-01-25; Implementation:10-06-25)
Medicare regulations allow that payment may be made for hospice services for up to
thirty days after a hospice terminates their Medicare provider agreement. This
payment may be made if the hospice services are furnished under a plan of care
established before the effective date of the termination. Medicare continues to make
payments for claims which extend beyond a provider’s termination date if the hospice
services are provided under a plan of care established prior to that date and if the
hospice period of care ends within the 30 day period.