On September 30, the Centers for Medicare and Medicaid Services published a final rule on regulatory burden relief.
Some of the factors that affect hospice include:
- Defers hospice aide training and competencies to state licensure requirements. If there are no state requirements, hospices will still be required to ensure that their hospice aides meet Federal standards for hospice aide training.
- Removes requirements to have a person on the hospice staff that has specialty knowledge of hospice medications.
- Follows the statutory requirement in the SUPPORT Act that the hospice must share the written policies and procedures for drug disposal in the home with patients, families and caregivers. However, CMS encourages hospices to develop easily understood materials that explain safe storage, use, and disposal of controlled drugs to patients, their families, and caregivers in addition to meeting the statutory requirement.
- Removes requirements for hospices to explicitly coordinate with SNF/NF and ICF/IID staff for orientation of facility staff.
- Changes in emergency preparedness requirements for hospice inpatient facilities and home-based hospice care.
The CMS Final Rule is available online (PDF).