US · guidance
CMS SOM App. M, Tag L620
§418.76(d) Standard: In-service training
A hospice aide must receive at least l2 hours of in-service training during each 12-month period. In-service training may occur while an aide is furnishing care to a
patient.
Interpretive Guidelines §418.76(d)
Hospices may fulfill the annual 12-hour in-service training requirement on a calendar
year basis, an employment anniversary basis, or a rolling 12 month basis as long as each
aide meets this in-service training requirement.
Hospice aide in-service training, that occurs with a patient in a place of residence,
supervised by an RN, can occur as part of the every 14 day supervisory visit, but the
exact new skill or theory taught must be documented. In-service training taught in the
patient’s environment should not be a repetition of a basic skill.
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
82a998e240be34a7004074254542cd3685cc6706919d34ce9e1006e266f5b9ce
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