Download:
pdf |
pdfCrosswalk for Changes to Hospice Request for Certification in the Medicare Program
(CMS-417)
Section # on
Current CMS-417
(08/10)
Type of Change
Rational for Change
IV of Instructions
Add: If a service is provided
both directly and through
arrangement, place a “3” in
the appropriate box.
Provide clarification to existing ASPEN
instructions
IV of form: Services
Provided
Add: If by staff and
arrangement, place a “3”
In the block(s)
Provide clarification to existing ASPEN
instructions
These minor updates on the form and instructions are based on the suggestions from State agency and
CMS regional offices users.
| File Type | application/pdf |
| Author | CMS |
| File Modified | 2014-01-23 |
| File Created | 2014-01-23 |