US · guidance
CMS SOM App. M, Tag L776
§418.112(d)(3) - Any changes in the hospice plan of care must be discussed with the
patient or representative, and SNF/NF or ICF/IID representatives, and must be
approved by the hospice before implementation.
Interpretive Guidelines §418.112(d)(3)
The hospice and the facility must have a process in which they can exchange information
from the hospice IDG plan of care reviews and assessment updates, and the facility team,
patient and family (to the extent possible) conferences, when updating the plan of care
and evaluating outcomes of care to assure that the patient receives the necessary care and
services. The hospice must authorize all changes to the hospice portion of the plan of
care prior to the change being made.
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
6af27248f591cfe2fc44f7aa1ca1b43d5a5a88c599628714e7dac06830898e33
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