42 CFR 418.200
§ 418.200 Requirements for coverage.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 418.200, § 418.200 Requirements for coverage, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204361
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Full text
To be covered, hospice services must meet the following requirements. They must be reasonable and necessary for the palliation and management of the terminal illness as well as related conditions. The individual must elect hospice care in accordance with § 418.24. A plan of care must be established and periodically reviewed by the attending physician, the medical director, and the interdisciplinary group of the hospice program as set forth in § 418.56. That plan of care must be established before hospice care is provided. The services provided must be consistent with the plan of care. A certification that the individual is terminally ill must be completed as set forth in section § 418.22.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.