US · guidance
CMS SOM App. M, Tag L539
§418.56(a) Standard: Approach to service delivery
§418.56(a)(1) The hospice must designate an interdisciplinary group or groups
composed of individuals who work together to meet the physical, medical,
psychosocial, emotional, and spiritual needs of the hospice patients and families
facing terminal illness and bereavement. Interdisciplinary group members must
provide the care and services offered by the hospice, and the group, in its entirety,
must supervise the care and services.
Interpretive Guidelines §418.56(a)(1)
Members of the IDG must be appropriately trained in the hospice philosophy and
competent to perform in their assigned area(s). The hospice may involve other members
of the care team in the IDG’s activities.
“Supervision” of care by the IDG members may be accomplished by face-to- face or
telephonic conferences, evaluations, discussions and general oversight, as well as by
direct observations.
History
Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
7d5bfacd9ea41c6084fce0fe6d056e4d250006ee8ebb5de6e4ff45c230e41127
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