US · guidance
CMS Pub. 100-02, ch. 13, § 210.1
Hospice Attending Physician Services Payment
Medicare beneficiaries who elect the Medicare hospice benefit may choose either an
individual physician, NP or PA to serve as their designated attending practitioner
(Section 1861(dd) of the Act). Beginning January 1, 2022, under section 132 of the
CAA 2021, RHCs and FQHCs are authorized to serve in this role. A physician, NP,
or PA who works for an RHC or FQHC may provide hospice attending physician
services during a time when he/she is working for the RHC or FQHC (unless
prohibited by their RHC or FQHC contract or employment agreement). The RHC or
FQHC would bill for these services as they would for any other qualified service to
be paid the RHC AIR or the FQHC PPS rate, respectively.
A physician, NP, or PA who works for an RHC or FQHC may provide hospice
attending services during a time when he/she is not working for the RHC or FQHC
(unless prohibited by their RHC or FQHC contract or employment agreement). These
services would not be considered RHC or FQHC services and the physician or NP
would bill for these services under regular Part B rules using his/her own provider
number. Any service provided to a hospice beneficiary by an RHC or FQHC
practitioner must comply with Medicare prohibitions on commingling. (See section
100 of this chapter).
History
(Rev. 11803; Issued: 01-26-23; Effective: 01-01-23; Implementation: 02-27-23)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ee3e0dbbbd5c2dbe037cce1d9d7ff5ca228efc60329b3f27f9f4251dcf0a59ba
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.