Regulation detail

42 CFR § 418.20

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42 CFR § 418.20 active

§ 418.20 Eligibility requirements.

Jurisdiction: US Agency: Centers for Medicare & Medicaid Services
HOSPICE (100%)
Plain-English summary

This regulation establishes the Medicare eligibility criteria for individuals to elect hospice care: they must be entitled to Medicare Part A and be certified as terminally ill in accordance with the applicable certification requirements. This is a patient eligibility rule for the hospice benefit, not a facility licensing or operational standard for any behavioral health, IDD, ABA, or foster care setting.

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Regulation text
§ 418.20 Eligibility requirements.

In order to be eligible to elect hospice care under Medicare, an individual must be—

(a) Entitled to Part A of Medicare; and

(b) Certified as being terminally ill in accordance with § 418.22.