recommending their use. Empowering Home Care & Hospice Agencies to Achieve Success. The objective of this policy is to present a framework for identifying, documenting, and communicating the unique health care needs of individuals with cardiopulmonary conditions, and thus promote the overall goal of the appropriate care for every person, every time. click here to see all U.S. Government Rights Provisions, 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. CMS Internet-Only Manual, Pub. The MAC's decision is based on whether the . THE UNITED STATES GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN Covid-19 Home Health Hospice Review Choice Demo. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. Email | The Social Security Act, Sections 1869(f)(2)(B) and 1862(l)(5)(D) define LCDs and provide information on the process. While every effort has J Palliat Med. Please note that codes (CPT/HCPCS and ICD-10) have moved from LCDs to Billing & Coding Articles. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Medicaid Applications are available at the American Dental Association web site. Section II: Non-Cancer Diagnoses. In essence, liver disease patients are appropriate for hospice care if, despite adequate medical management, they suffer from persistent symptoms of hepatic failure, such as ascites, hepatic encephalopathy or recurrent varicella bleeding, and meet many of the following guidelines: Multiple hospitalizations, ED visits or increased use of other . Some older versions have been archived. This section contains hospice care billing guidelines, including authorization and "from-through" billing requirements. Palliative care for advanced dementia. Under Bibliography changes were made to citations to reflect AMA citation guidelines. Under CMS National Coverage Policy, Title XVIII of the Social Security Act, 1814(i) addressing payment for hospice care, was moved to the related Billing and Coding: Hospice Cardiopulmonary Conditions A56610 article. II. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. Is used by CGS Medical Review staff as a guideline to aide in consistency of reviews. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Also, you can decide how often you want to get updates. CGS has developed a hospice LCD, ID# L34538 titled Hospice Determining Terminal Status, using the National Hospice and Palliative Care Organization's (NHPCO) guidelines. Estimated glomerular filtration rate (GFR) <10 ml/min. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. The AMA is a third party beneficiary to this Agreement. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. Join to apply for the Professional Medical Coder I role at Lexington Hospice Services. Inability to swallow liquids or soft food without choking or coughing; progression to a . If you would like to extend your session, you may select the Continue Button. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450.000. Cardiopulmonary conditions may support a prognosis of6 months or less under many clinical scenarios. Utilize the Sign Tool to add and create your electronic signature to signNow the ALS Hospice LCD for Determining Terminal Status Worksheet CGS (updated 11/2014) form. This resource can be a teaching tool for new employees and hospice managers. Title XVIII of the Social Security Act, 1862(a)(9) addresses expenses for custodial care (except, in the case of hospice care, as is otherwise permitted). Note: Certain cancers with poor prognoses (e.g. At this time 21st Century Cures Act will apply to . The AMA is a third party beneficiary to this Agreement. National Vital Statistics 2. Note that 2 of the disease-specific guidelines (HIV and stroke/coma) establish a lower qualifying KPS or PPS. The information displayed in the Tracking Sheet is pulled from the accompanying Proposed LCD and its correlating Final LCD and will be updated as new data becomes available. small cell lung cancer, brain cancer and pancreatic cancer) may be hospice eligible without fulfilling the other criteria in this section. Jurisdiction M Home Health and Hospice MAC. This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy. LCDs are specific to an item or service (procedure) and they define the specific diagnosis (illness or injury) for which the item or service is covered. Consists of three parts, and a disease specific appendices: Part I is related to the decline in a beneficiary predictive of a six month prognosis. At this time 21st Century Cures Act will apply to new and revised LCDs that restrict coverage which requires comment and notice. This email will be sent from you to the You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Title XVIII of the Social Security Act, 1813(a)(4) addresses drugs and biologicals provided in a hospice program. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. For a patient to be eligible for hospice, consider the following guidelines: The illness is terminal (a prognosis of 6 months) and the patient and/or family has elected palliative care. Punctuation and typographical errors were corrected throughout the LCD. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. Font Size: Hunter Business School Graduate. Information addressing relevant ICF categories, defined within each of these domains, should form the core of the clinical record and be incorporated into the care plan, as appropriate. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). No fee schedules, basic unit, relative values or related listings are included in CPT. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Double check all the fillable fields to ensure complete accuracy. recipient email address(es) you enter. Now it is possible to print, save, or share the document. A56610 - Billing and Coding: Hospice Cardiopulmonary Conditions, A53054 - Going Beyond Diagnosis: Hospice Cardiopulmonary Conditions, A53056 - Hospice: Documenting Weight Loss for Beneficiaries with Non-Neoplastic Conditions. Title XVIII of the Social Security Act, 1862 (a) (1) (A) allows coverage and payment for only those services that are considered to be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Heart failure in older adults. The Karnofsky Performance Scale (KPS) is an assessment tool for predicting of length of survival in terminally ill patients. This license will terminate upon notice to you if you violate the terms of this license. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. The views and/or positions presented in the material do not necessarily represent the views of the AHA. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. $ 2.00 - Angel Hospice Lapel Pin - Silver (Super Sale) No reviews. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. End Users do not act for or on behalf of the CMS. There are multiple ways to create a PDF of a document that you are currently viewing. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Font Size: Before an LCD becomes final, the MAC publishes Proposed LCDs, which include a public comment period. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. There has been no change in coverage with this LCD revision. The Hospice Manual guides hospice providers to the regulations, administrative and billing instructions, and service codes they need. such information, product, or processes will not infringe on privately owned rights. Part II is related to the functional limitations of a beneficiary, and is used in conjunction with the disease specific appendices. Allows for the decline of a beneficiary to be a factor in determining prognosis. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the Punctuation was corrected throughout the policy. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. All webinar purchases include a MP4 recording at no additional cost. For example a beneficiary with AD and clinically significant CHD or COPD would have specific impairments of cardiorespiratory function (e.g., dyspnea, orthopnea, wheezing, chest pain), which may or may not respond or be amenable to treatment. $45.00 1 New from $45.00. The scope of this license is determined by the AMA, the copyright holder. Washington, DC: National Academy Press; 1991.Reisberg B. Functional assessment staging (FAST). CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. preparation of this material, or the analysis of information provided in the material. Please note that codes (CPT/HCPCS and ICD-10) have moved from LCDs to Billing & Coding Articles. The Tracking Sheet provides key details about the Proposed LCD, including a summary of the issue, who requested the new/updated policy, links to key documents, important process-related dates, who to contact with questions about the policy, and the history of previous policy considerations. Hospice Documentation Tips; Implementation of the Election Statement Addendum; Hospice Beneficiary Election Statement Addendum Frequently Asked Questions; Hospice Levels of Care: General Inpatient Care; Documentation for Hospice Transfers; Tips for Responding to a Hospice ADR; Documentation Requirements for the Medicare Hospice Election Statement on this web site. The AMA is a third party beneficiary to this Agreement. To meet stroke hospice criteria, the patient must have had an acute CVA within the past 14 days or a subacute stroke within the past six months. Page updated: August 2020. No fee schedules, basic unit, relative values or related listings are included in CPT. 2004;20(1):27-43.Hodges JR. Frontotemporal dementia (picks disease):clinical features and assessment. 1988;24(4):653-659. documentation. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom CDT is a trademark of the ADA. Frontotemporal dementia. The page could not be loaded. Shuster JL. Palliative care can be helpful at any stage of illness and is best provided soon after a person is diagnosed. Medicaid patients who voluntarily choose to end any treatment designed to cure their disease are eligible to receive services, supplies and care to provide necessarily relief of pain or other symptoms. The patient should have a prognosis of fewer than six months if the disease runs its normal course, as determined . Stroke or coma. hospice. Under Associated Information in the first sentence added the verbiage Local Coverage Determination in front of the acronym LCD. 1. End User Point and Click Amendment: Applications are available at the, Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Email | There has been no change in coverage with this LCD revision. The document is broken into multiple sections. Medicare contractors are required to develop and disseminate Local Coverage Determinations (LCDs). This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. CPT is a trademark of the American Medical Association (AMA). The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. For bulk orders of 25 or more, please contact Corridor at 1-866-263-3795. Writing a check? Recordings for current and past webinars can be purchased individually through NHPCO's Marketplace and can be used for In-service training. Made exclusively for NHPCO. Title XVIII of the Social Security Act, 1812(a)(4) states in lieu of certain other benefits, hospice care with respect to the individual during up to 2 periods of 90 days each with an unlimited number of subsequent periods of 60 days each with respect to which the individual makes an election. Secondary conditions themselves may be associated with a new set of structural/functional impairments that may or may not respond or be amenable to treatment. End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Executive Assistant at Androscoggin Home Healthcare + Hospice . BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. Clinical practice: Aortic stenosis. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Their impact on any given individual depends on the individuals overall health status. 4. This revision is not a restrictio. Applications are available at the, Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Another option is to use the Download button at the top right of the document view pages (for certain document types). License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Why hospice now? CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Medicare pays for hospice care when qualifying criteria are met and documented. Karnofsky Performance Status (KPS) or Palliative Performance Scale (PPS) of < 40% . The disease-specific LCD guideline: Alzheimer's disease and Related Conditions for hospice should be used when determining hospice eligibility. CMS believes that the Internet is an effective method to share LCDs that Medicare contractors develop. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. Other Palmetto LCDs L34566 Hospice HIV Disease L34544 Hospice Liver Disease L34547 Hospice Neurological Conditions L34559 Hospice Renal Care L34548 Hospice Cardiopulmonary Conditions L34558 Hospice The Adult Failure To Thrive Syndrome 2006;90(5):863-885.Stuart B. Palliative care and hospice in advanced heart failure. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. Secondary Conditions: AD may be complicated by secondary conditions. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. All Rights Reserved (or such other date of publication of CPT). Lewiston, Maine, United States . Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. LCD document IDs begin with the letter "L" (e.g., L12345). If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. AHA copyrighted materials including the UB‐04 codes and Patients will be considered to be in the terminal stage of cancer and eligible for hospice if they meet the following criteria: Factors 1 and 2 must be present, and either factors 3 or 4 must be present. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Meets most of the LCD criteria AND has documented rapid clinical decline supporting a limited prognosis 3. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. not endorsed by the AHA or any of its affiliates. The table below provides a current list of all active LCD and MCD articles. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. Medicare rules and regulations addressing hospice services require the documentation of sufficient clinical information and other documentation to support the certification of individuals as having a terminal illness with a life expectancy of 6 or fewer months, if the illness runs its normal course. The services provided by the IDG are directed by the Plan of Care (POC) that is specific for each individual beneficiary. without the written consent of the AHA. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals. Community Guidelines (Arabic) etina . CGS has developed a hospice LCD, ID# L34538 titled Hospice Determining Terminal Status, using the National Hospice and Palliative Care Organization's (NHPCO) guidelines. Geneva: World Health Organization, 2001.Kertesz A, Munoz DG. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. 2001;56(11 Suppl 4):S6-10.International classification of functioning, disability and health: ICF. Part 2 - Hospice Care: General Billing Instructions . The AMA is a third party beneficiary to this Agreement. This LCD is being revised in order to adhere to CMS requirements per chapter 13, section 13.5.1 of the Program Integrity Manual, to remove all coding from LCDs. Out of stock. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). What is an LCD? Health status includes measures of functioning, physical illness, and mental well-being, as well as, environmental factors, such as the availability of palliative care services. + | Hospice referrals should balance a physician's experienced clinical judgement, Medicare regulations, and input from the patient and family. Kindle. The identification of specific structural/functional impairments, together with any relevant activity limitations, should serve as the basis for palliative interventions and care planning. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. Learn about hospice guidelines for your patients with end-stage heart disease, including CHF, and download a PDF of these guidelines for easy reference. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or CGS and NGS have very specific criteria for patients with a terminal diagnosis of a stroke. Total and state-specific medical and absenteeism costs of COPD among adults aged 18 years in the United States for 2010 and . The AMA is a third party beneficiary to this license. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Disability in America: toward a national agenda for prevention. Documentation RequirementsDocumentation certifying terminal status must contain enough information to confirm terminal status upon review. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. CDT is a trademark of the ADA. In no event shall CMS be liable for direct, indirect, descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work of every MCD page. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. Recordings cover a variety of topics including: Supportive Care, Interdisciplinary Team, Community-Based . Hospice care is a benefit under the hospital insurance program. Meets most of the LCD criteria AND has significant comorbidities that contribute to a limited prognosis 4. Refer to the topics below for additional information about hospice eligibility and the services provided under the Medicare hospice benefit. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". B. In no event shall CMS be liable for direct, indirect, copied without the express written consent of the AHA. + | Use of these 11 points is necessary, meaning that estimates between points cannot be made. Under CMS National Coverage Policy updated regulation descriptions and section headings. End Users do not act for or on behalf of the CMS. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. of every MCD page. This page displays your requested Local Coverage Determination (LCD). For the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Introduction. Typically, there is an interprofessional team focus led by a physician medical director. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. Consider all factors that impact the patient's prognosis. The Tracking Sheet modal can be closed and re-opened when viewing a Proposed LCD. Applications are available at the American Dental Association web site. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. Clinics in Geriatric Medicine. Home Health and Hospice providers in Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee and Texas. Title XVIII of the Social Security Act, 1862 (a) (6) constitutes . Any questions pertaining to the license or use of the CPT must be addressed to the AMA. MACs are Medicare contractors that develop LCDs and process Medicare claims. 2006;9(2):422-36.International Classification of Functioning, Disability and Health (ICF). Summary: For beneficiaries with AD to be eligible for hospice the individual should have a FAST level of greater than or equal to 7 and specific comorbid or secondary conditions meeting the above criteria. These NCDs, LCDs, and LCAs must be organized and readily available to the applicable Clinical staff, Scheduling, Registration, Coding and Billing Staff, as well as physicians and non-physician practitioners. Refer to the Medical Policies page to access the hospice LCD. Cardiopulmonary conditions are associated with impairments, activity limitations, and disability. The documentation of these variables is thus essential in the determination of reasonable and necessary Medicare hospice services. Referral for people with late-stage dementia should weigh experienced clinical judgement, Functional Assessment Staging (FAST scale) (PDF, 37 KB) or GDS guidelines, and input from family members. There are multiple ways to create a PDF of a document that you are currently viewing. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". LCD document IDs begin with the letter "L" (e.g., L12345). CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Hospice Eligibility Criteria Patient has a terminal illness with a life expectancy of 6 months or less CANCER Pt meets ALL of the following: 1.