CMS SOM App. M, Tag L614

requirements of this standard are met.

Interpretive Guidelines §418.76(b)(4)

A hospice aide may receive training from different organizations if the amount of training

totals 75 hours, the content of training addresses all subjects listed at §418.76(b)(3) and

the organization, training, instructors, and documentation meet the requirements of the

regulation.

Documentation of training should include:

• A description of the training/competency evaluation program, including the

qualifications of the instructors;

• A record that indicates which skills each aide was judged to be competent and that

distinguishes between skills taught at a patient’s bedside with supervision, and

those taught in a laboratory or simulated setting using a pseudo-patient as defined

at §418.3. A pseudo-patient may be a real person trained to participate in a role-play situation, or a computer-based mannequin device ; and

• How additional skills (beyond the basic skills listed in the regulation) are taught

and tested if the hospice’s admission policies and case-mix of hospice patients

require aides to perform more complex procedures.