[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2003] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR418.80] [Page 788] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 418--HOSPICE CARE--Table of Contents Subpart D--Conditions of Participation: Core Services Sec. 418.80 Condition of participation--Furnishing of core services. Except as permitted in Sec. 418.83, a hospice must ensure that substantially all the core services described in this subpart are routinely provided directly by hospice employees. A hospice may use contracted staff if necessary to supplement hospice employees in order to meet the needs of patients during periods of peak patient loads or under extraordinary circumstances. If contracting is used, the hospice must maintain professional, financial, and administrative responsibility for the services and must assure that the qualifications of staff and services provided meet the requirements specified in this subpart. [52 FR 7416, Mar. 11, 1987, as amended at 55 FR 50835, Dec. 11, 1990]