US · guidance
CMS SOM App. M, Tag L717
§418.108(d) Standard: Inpatient care limitation
The total number of inpatient days used by Medicare beneficiaries who elected
hospice coverage in a 12-month period in a particular hospice may not exceed 20
percent of the total number of hospice days consumed in total by this group of
beneficiaries.
Interpretive Guidelines §418.108(d)
This standard applies to Medicare beneficiaries only. Compliance with this regulation is
based on the total number of Medicare beneficiaries enrolled in the hospice program, and
does not include patients from other payor sources.
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
ddc175ccd3a6d71db058b5eea3313fadfea10b1ce092c18317eca347da313f53
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