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Hospice Eligibility of Beneficiaries in a Skilled Nursing Facility (SNF)

Medicare Benefit Policy Manual (CMS Pub. 100-02) Ch. 9, §20.3External PDF

A Medicare beneficiary who resides in a skilled nursing facility (SNF) or nursing facility (NF) may elect the hospice benefit if:

  • The residential care is paid for by the beneficiary; or
  • The beneficiary is eligible for Medicaid and the facility is being reimbursed for the beneficiary's care by Medicaid, and
  • The hospice and the facility have a written agreement under which the hospice takes full responsibility for the professional management of the individual's hospice care and the facility agrees to provide room and board to the individual.

SNF/NF and Hospice Care Frequently Asked Questions (FAQs)

Reviewed: 12.08.21


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