Hospice Eligibility Criteria and Guidelines

These eligibility criteria are related to specific diagnoses provided by the Centers for Medicare and Medicaid Services. Although these guidelines are limited to a select list of diagnoses for hospice benefit coverage it is not to be considered an all-inclusive list. In fact, any disease in the terminal stage is appropriate for hospice care. Hospice appropriate individuals may exhibit some or all of the following:


  • Frequent hospitalizations
  • Progressive weight loss
  • Deteriorating mental abilities
  • Recurrent infections
  • Overall decline in condition


General hospice eligibility guidelines

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