Hospice eligibility Criteria
To receive hospice care, a patient must meet the eligibility criteria established by the U.S. Centers for Medicare and Medicaid Services. No specific number of symptoms is required when qualifying for hospice, the following guidelines can help determine if a patient’s condition is, or soon may be, appropriate for hospice care.
Hospice eligibility requirements:
- Patient has been diagnosed with a life-limiting condition with a prognosis of six months or less if their disease runs its normal course
- Frequent hospitalizations in the past six months
- Progressive weight loss (taking into consideration edema weight)
- Increasing weakness, fatigue, and somnolence
- A change in cognitive and functional abilities
- Compromised Activities of Daily Living (ADLs) such as eating, bathing, dressing, toileting, transferring/walking, and continence
- Deteriorating mental abilities
- Recurrent Infections
- Skin breakdown
- Specific decline in condition
Please note: Co-morbidities, the presence of two or more chronic diseases or conditions at the same time, are also a factor to consider in qualifying for hospice.
If you have any doubt about whether the requirements for hospice care have been met, please contact us using the Help Bar above for a hospice consultation.