US · guidance
CMS SOM App. M, Tag L692
§418.106(d) Standard: Administration of drugs and biologicals
(1) The interdisciplinary group, as part of the review of the plan of care, must
determine the ability of the patient and/or family to safely self-administer drugs
and biologicals to the patient in his or her home.
(2) Patients receiving care in a hospice that provides inpatient care directly in its
own facility may only be administered medications by the following individuals:
(i) A licensed nurse, physician, or other health care professional in
accordance with their scope of practice and State law;
(ii) An employee who has completed a State-approved training program in
medication administration; and
(iii) The patient, upon approval by the interdisciplinary group.
Interpretive Guidelines §418.106(d)
The patient’s individualized written plan of care should identify if the patient and/or
family are self-administering drugs and biologicals. If the patient and/or family are not
capable of safely administering drugs and biologicals in the home, the hospice must
address this issue in the patient’s plan of care.
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
aa1073e81ca46acffe893f9a75b7495dcb451b5ee3f10a26d38b94ca251023fb
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