Hospice Conditions of Participation (CMS-10277)

ICR 202508-0938-020

OMB: 0938-1067

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2025-08-28
Supplementary Document
2025-08-28
IC Document Collections
IC ID
Document
Title
Status
277315
New
277314
New
277295
New
277282
New
277280
New
277279
New
277277
New
241790
Modified
241789
Modified
230612
Modified
230608
Removed
211892
Modified
211891
Modified
211890
Modified
211889
Modified
211888
Modified
211887
Removed
211886
Removed
211885
Modified
211884
Modified
211883
Modified
211882
Modified
211881
Modified
211880
Modified
195470
Modified
195469
Modified
195468
Modified
189585
Modified
189584
Modified
189583
Modified
189582
Modified
189581
Modified
189580
Modified
189579
Modified
189578
Modified
189577
Modified
189576
Modified
ICR Details
0938-1067 202508-0938-020
Received in OIRA 202104-0938-008
HHS/CMS CCSQ
Hospice Conditions of Participation (CMS-10277)
Reinstatement with change of a previously approved collection   No
Regular 08/28/2025
  Requested Previously Approved
36 Months From Approved
9,209,893 0
4,032,329 0
0 0

The CoPs and accompanying requirements specified in the regulations are used by Federal or State surveyors as a basis for determining whether a hospice qualifies for approval or re-approval under Medicare. CMS and the healthcare industry believe that the availability to the hospice of the type of records and general content of records, which this regulation specifies, is standard medical practice, and is necessary in order to ensure the well-being and safety of patients and professional treatment accountability.

PL: Pub.L. 101 - 239 6005(b) Name of Law: Omnibus Reconciliation Act of 1989
   US Code: 42 USC 1395x Name of Law: Hospice Care; Hospice Program
   PL: Pub.L. 105 - 33 Title IV, Chapter 4 Name of Law: BBA of 1997
   PL: Pub.L. 97 - 248 122 Name of Law: Tax Equity & Fiscal Responsibility Act
   PL: Pub.L. 108 - 173 946 Name of Law: Medicare Prescription Drug, Improvement, & Modernization Act of 2003
  
US Code: 42 USC 418.24(b) Name of Law: Election of hospice care
US Code: 42 USC 418.24(c) Name of Law: Election of hospice care

Not associated with rulemaking

  90 FR 23687 06/04/2025
90 FR 42013 08/28/2025
Yes

34
IC Title Form No. Form Name
Hospice Condition of Participation (418.22(b)(4)
Hospice Condition of Participation 418.58(a)(2) Collect and record data
Hospice Conditions of Participation (418.110 (o)(2) newly certified facilities
Hospice Conditions of Participation (418.52(a)(3)
Hospice Conditions of Participation 418.100(e)
Hospice Conditions of Participation 418.106 (e)(2)(i)(C)
Hospice Conditions of Participation 418.108(c)(1)
Hospice Conditions of Participation 418.108(c)(3)
Hospice Conditions of Participation 418.110 (o)(4)
Hospice Conditions of Participation 418.110(m)
Hospice Conditions of Participation 418.110(n) documentation
Hospice Conditions of Participation 418.110(n)(11) and (n)(15)
Hospice Conditions of Participation 418.112(e)(3)
Hospice Conditions of Participation 418.114 (b)(3)(i)(B)
Hospice Conditions of Participation 418.114 (d)
Hospice Conditions of Participation 418.114 (d) Newly Certified Facility
Hospice Conditions of Participation 418.22(b) Certification Form Development
Hospice Conditions of Participation 418.22(b)(3)
Hospice Conditions of Participation 418.22(b)(5)
Hospice Conditions of Participation 418.24(b) explain election statement
Hospice Conditions of Participation 418.28(d) develop revocation form
Hospice Conditions of Participation 418.28(d) explain revocation form
Hospice Conditions of Participation 418.52(b)(4)
Hospice Conditions of Participation 418.56(b)
Hospice Conditions of Participation 418.56(c)
Hospice Conditions of Participation 418.58 (a)(2) Document Analysis
Hospice Conditions of Participation 418.58(a)(2) Develop QAPI program
Hospice Conditions of Participation 418.58(a)(2) ID new measures
Hospice Conditions of Participation 418.58(a)(2) Organize QAPI Data
Hospice Conditions of Participation 418.76(b)(4) Existing Facilities
Hospice Conditions of Participation 418.76(b)(4) Newly certified Facilities
Hospice Conditions of Participation 418.76(d)(2)
Hospice Conditions of Participation 418.78(a)(c)(d) and (e)
Hospice Conditons of Participation 418.24 develop election form
Hospice Condtions of Participation 418.52(a)(1)
§418.24(c) Addendum Form Development
§418.24(c) Addendum Form Completion

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 9,209,893 0 0 -9,515,760 0 18,725,653
Annual Time Burden (Hours) 4,032,329 0 0 393,114 0 3,639,215
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This package has been updated to reflect changes in information collection requirements related to new or revised Conditions of Participation. For this reinstatement, the total annual burden hours for industry are 4,032,329 hours and the annual burden costs are $350,449,922. The annual burden hours to industry increased 10.8% from 3,639,215 to 4,032,329. The reasons for the change in annual burden hours are due to the following: • The overall number of newly certified hospices per year continues to increase. The prior version estimated that 280 hospices per year would be newly certified while current estimates expect more than 540 newly certified hospices per year. • The current number of certified hospices is in the range of 6,400 - 7,300 while the prior reinstatement estimate less than 5,000 certified hospices were operating and billing Medicare. • Given the increase in hospice facilities, the number of hospice patients and staff subject to the CoPs has increased, thereby increasing burden hours across the industry.

$13,233,956
No
    No
    No
Yes
No
No
No
Denise King 410 786-1013 Denise.King@cms.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/28/2025


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