This regulation establishes basic Medicare payment rules for hospice care, specifying that reimbursement follows the method in § 418.302, is subject to a cap amount per cap period under § 418.309, and prohibits hospices from billing patients for Medicare-covered services. These rules govern hospice providers participating in the Medicare program.
View official source§ 418.301 Basic rules. (a) Medicare payment for covered hospice care is made in accordance with the method set forth in § 418.302. (b) Medicare reimbursement to a hospice in a cap period is limited to a cap amount specified in § 418.309. (c) The hospice may not charge a patient for services for which the patient is entitled to have payment made under Medicare or for services for which the patient would be entitled to payment, as described in § 489.21 of this chapter. [48 FR 56026, Dec. 16, 1983, as amended at 56 FR 26919, June 12, 1991; 70 FR 70547, Nov. 22, 2005]