[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: 42CFR418.88]



[Page 921-922]

 

                         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. 418.88  Condition of participation--Counseling services.



    Counseling services must be available to both the individual and the 

family. Counseling includes bereavement counseling, provided after the 

patient's death as well as dietary, spiritual and any other counseling 

services for the individual and family provided while the individual is 

enrolled in the hospice.

    (a) Standard: Bereavement counseling. There must be an organized 

program



[[Page 922]]



for the provision of bereavement services under the supervision of a 

qualified professional. The plan of care for these services should 

reflect family needs, as well as a clear delineation of services to be 

provided and the frequency of service delivery (up to one year following 

the death of the patient). A special coverage provision for bereavement 

counseling is specified Sec. 418.204(c).

    (b) Standard: Dietary counseling. Dietary counseling, when required, 

must be provided by a qualified individual.

    (c) Standard: Spiritual counseling. Spiritual counseling must 

include notice to patients as to the availability of clergy as provided 

in Sec. 418.70(f).

    (d) Standard: Additional counseling. Counseling may be provided by 

other members of the interdisciplinary group as well as by other 

qualified professionals as determined by the hospice.