Determining Eligibility

Hospice and palliative care referrals should weigh a physician's experienced clinical judgement, Medicare regulations, if applicable, and input from patients and their family. Physicians and admissions coordinators at our local programs are available for consultation.


Medicare eligibility

To elect hospice under Medicare, an individual must be entitled to Medicare Part A and certified as being terminally ill by a physician and have a prognosis of six months or less, if the disease runs its normal course. 

Eligibility, Election and Duration of Benefits - Code of Federal Regulations


Hospice Pre-Election Evaluation and Counseling Services - CMS-R386CP.pdf

Medicare allows and reimburses for a one-time visit by a physician who is either the medical director of or employee of a hospice agency to:

  • Evaluate the need for pain and symptom management
  • Counsel the individual regarding hospice and other care options
  • Advise the individual regarding advanced care planning

Compassus locations are licensed by states and fully certified by Medicare and Medicaid. Our Hospice physicians and nursing staff are available 24/7, with around-the-clock care when necessary.