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US · guidance

CMS Pub. 100-02, ch. 9, § 80.1

Documentation

activein force · 2026-08-25 – presentas-observed

If the beneficiary’s physician initiates the request for the evaluation and counseling

service, appropriate documentation guidelines should be followed, including the

determination of the terminal illness. Since this provision is not a prerequisite of or part

of the hospice benefit, certification of the terminal illness is not required. The request or

referral should be in writing, and the hospice medical director or physician employee

would be expected to provide a written note on the patient’s medical chart as well as

maintaining a written record of this service.

If the beneficiary initiates the request for the service, the hospice agency should maintain

a written record of the service and communication with the beneficiary’s physician, with

the beneficiary’s permission, would occur, to the extent necessary to ensure continuity of

care.

History

(Rev. 188, Issued: 05-01-14; Effective: 08-04-14; Implementation: 08-04-14)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
d00cfd282aa5aba7cd09f434b43e7a013e63b245dd5ee519ea07bc3e2cf47736
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