[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR418.200]



[Page 926]

 

                         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 F_Covered Services

 

Sec. 418.200  Requirements for coverage.





    To be covered, hospice services must meet the following 

requirements. They must be reasonable and necessary for the palliation 

or management of the terminal illness as well as related conditions. The 

individual must elect hospice care in accordance with Sec. 418.24 and a 

plan of care must be established as set forth in Sec. 418.58 before 

services are provided. The services must be consistent with the plan of 

care. A certification that the individual is terminally ill must be 

completed as set forth in Sec. 418.22.