Hospice Regulations and Non-Medicare Patients

2083 - Hospice Regulations and Non-Medicare Patients (Rev. 73, Issued: 12-02-11 Effective: 12-02-11, Implementation: 12-02-11) The hospice CoPs apply to all patients of the hospice (Medicare and non-Medicare), with the exception of the following regulations, which apply only to Medicare beneficiaries: • 42 CFR 418.100(d) - the continuation of care requirement, and • 42 CFR 418.108(d) - the 80-20 inpatient care limitation. In addition, the following CoPs regarding the certification and recertification of terminal illness are necessary to determine eligibility for Medicare and Medicaid patients and may or may not be a requirement by other payment sources: • 42 CFR 418.102(c); • 42 CFR 418.104 (a)(5); and • 42 CFR 418.112 (e)(3)(iii).