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.
Frequently Asked Questions
Can a Hospice add a second office location under its current license?
Multiple Hospice Location – a location or site from which the hospice program provides non-residential nursing, social, pastoral/counseling, bereavement or dietary services within a portion of the total geographic area served by the hospice program. The multiple hospice location is part of the hospice program and is located sufficiently close to share administration, supervision and services in a manner that renders it unnecessary for the multiple hospice location to independently require a hospice license. Multiple hospice locations are not hospice residences and shall not provide inpatient care. To apply for a multiple location complete the “Multiple Hospice Location Questionnaire” under the forms and submit to the Department under the contact information on this page.
What is required for a relocation of the health care provider?
The health care provider shall complete the IDPH “Facility Information Change Form” prior to the relocation and submit to the Department. If the Health Care Provider is Medicare certified then the provider shall also complete Medicare Provider enrollment form A and submit to their Medicare fiscal intermediary.
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