US · guidance
CMS SOM App. M, Tag L541
§418.56(a)(1) …The interdisciplinary group must include, but is not limited to,
individuals who are qualified and competent to practice in the following
professional roles:
(i) A doctor of medicine or osteopathy (who is an employee or under contract
with the hospice).
i. (ii) A registered nurse.
ii. (iii) A social worker, marriage and family therapist, or a mental health
counselor.
iii. (iv) A pastoral or other counselor.
Interpretive Guidelines §418.56(a)(1)(i)-(iv)
The number of individuals on the IDG is not as important as their qualifications and
abilities. For example, if a group member meets the hospice criteria and is licensed as a
RN and also meets the Medicare criteria to be considered a social worker under the
hospice benefit, he/she would be qualified to serve on the IDG as both a nurse and a
social worker.
History
Rev. 222; Issued: 06-07-24; Effective: 06-07-24; Implementation: 06-07-24
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
7717c699ae901be180741ea6be819be96a342f129eadd3ab351dcaaa007cd9a7
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