42 CFR 417.531
§ 417.531 Hospice care services.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 417.531, § 417.531 Hospice care services, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204256
- Permanent ID
ys:prov:204256@1- SHA-256
e3a6b66e3c361636b4a8d790481043092796cf79644840ffaa7df604651ba2a9
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) If a Medicare enrollee of an HMO or CMP with a reasonable cost contract makes an election under § 418.24 of this chapter to receive hospice care services, payment for these services is made to the hospice that furnishes the services in accordance with part 418 of this chapter.
(b) While the enrollee's hospice election is in effect, CMS pays the HMO or CMP on a reasonable cost basis for only the following covered Medicare services furnished to the Medicare enrollee:
(1) Services of the enrollee's attending physician if the physician is an employee or contractor of the HMO or CMP and is not employed by or under contract to the enrollee's hospice.
(2) Services not related to the treatment of the terminal condition for which hospice care was elected or a condition related to the terminal condition.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.