Agencies
Services
Hospice
A Hospice is a public agency or private organization, or a subdivision of either of those, that is primarily engaged in providing care to terminally ill individuals through a program of home care or inpatient care, or both home care and inpatient care, utilizing a medically directed interdisciplinary hospice care team of professionals or volunteers, or both professionals and volunteers. A hospice program may be licensed as a comprehensive hospice program or a volunteer hospice program.
A Hospice Residence is separately licensed home, apartment building, or similar building providing living quarters: that is owned or operated by a person licensed to operate as a comprehensive hospice; and at which hospice services are provided to facility residents.
How to Become Medicare Certified
Complaints
For information on filing a complaint or checking the status of a current complaint, please visit our complaint section.
Resources
Forms
- Medicare Intermediary Information
- Hospice Medicare Certification
- Hospice Medicare Certification CHOW
- Hospice License Application Initial/Renewal/Change of Ownership
- Hospice Administrative Staff Changes
- Multiple Hospice Location Questionnaire
- Hospice Residence Initial Application
- Hospice Residence Renewal Application
- Checklist for New Hire/Rehire Background Check
