Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.35 - Hospice Care
Section 10.09.35.06 - Covered Services
Universal Citation: MD Code Reg 10.09.35.06
Current through Register Vol. 51, No. 19, September 20, 2024
A. Hospice care includes the services listed in §B of this regulation when the services are:
(1) Provided to an eligible
recipient who elects hospice care, in accordance with Regulation .05 of this
chapter;
(2) Reasonable and
necessary for the palliation or management of the participant's terminal
illness and related conditions;
(3)
Consistent with the plan of care established before the services are
provided;
(4) Provided by
appropriately qualified personnel;
(5) Administered according to accepted
standards of practice; and
(6)
Routinely provided directly by provider employees, when they are the core
services listed in §B(1)-(4) of this regulation, except that the provider
may contract for supplemental services during peak patient loads, under
extraordinary circumstances, or to obtain physician specialty
services.
B. The following are covered hospice care services:
(1) Nursing care provided by a nurse licensed
as a registered nurse in the jurisdiction in which services are provided or by
an individual under the supervision of a registered nurse;
(2) Medical social services provided by a
social worker who is:
(a) In compliance with
the social work licensing requirements of the jurisdiction in which service is
provided; and
(b) Working under the
direction of a physician;
(3) Physician services performed by a
physician as described in 42
CFR §§ 410.20-
410.25, except that the services
of the provider's medical director or physician member of the interdisciplinary
group shall be performed by a doctor of medicine or osteopathy;
(4) Counseling services provided to the
participant and the family members or other persons caring for the participant
at home, including:
(a) Dietary
counseling;
(b) Counseling to train
the participant's family or other caregivers in providing care;
(c) Spiritual counseling to help the
participant and the family or other caregivers in the home to adjust to the
participant's approaching death;
(d) Bereavement counseling for the family
after the participant's death; and
(e) Additional counseling provided by
interdisciplinary group members, as well as by other qualified professionals as
necessary;
(5)
Short-term inpatient care subject to the following conditions:
(a) General inpatient care may be provided to
meet the participant's needs for pain control or for acute or chronic symptom
management that cannot be met in other settings;
(b) Inpatient respite care may be furnished
to provide rest or relief for family members or other individuals routinely
furnishing at-home care to the participant; and
(c) General inpatient care and inpatient
respite care shall be provided in a:
(i)
Hospice that meets the conditions of participation for providing inpatient care
directly as set forth in 42
CFR § 418.100; or
(ii) Hospital, skilled nursing facility, or
nursing facility that meets the special hospice standards regarding 24-hour
nursing service and patient areas as set forth in
42 CFR § 418.100(a) and
(e);
(6) Medical appliances and supplies,
including drugs and biologicals, which are needed for the palliation and
management of the terminal illness and related conditions;
(7) Home health aide and homemaker services
furnished by qualified individuals, who are under the general supervision of a
registered nurse; and
(8) Physical
therapy, occupational therapy, and speech-language pathology services provided
by qualified individuals for purposes of symptom control or to enable the
participant to maintain activities of daily living and basic functional
skills.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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