US · guidance
CMS SOM App. M, Tag L763
§418.112(c) Standard: Written agreement
The hospice and SNF/NF or ICF/IID must have a written agreement that specifies
the provision of hospice services in the facility. The agreement must be signed by
authorized representatives of the hospice and the SNF/NF or ICF/IID before the
provision of hospice services.
Interpretive Guidelines §418.112(c)
The written agreement is for the provision of hospice services between the two entities.
As the written agreement is not patient specific, it does not need to be rewritten for each
patient. If there are concerns regarding the provision of services, the hospice and the
facility may review and revise this agreement as appropriate for needed changes and/or
improvement in the working relationship between the two entities.
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
b8410fb83e70e6f05bb00bc0de2d38182bb3ae42147cea3b16000cd497332163
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