Hospice Conditions of Participation (CMS-10277)

ICR 202508-0938-020

OMB: 0938-1067

Federal Form Document

Forms and Documents

Document Name	Status
CMS-10277 Supporting Statement Final 8.13.25.docx Supporting Statement A	2025-08-28
Attachment A_CMS-10277 Response to 60 Day Public Comments.docx Supplementary Document	2025-08-28

IC Document Collections

IC ID	Document Title	Status
277315	Hospice Conditions of Participation 418.22(b) Certification Form Development	New
277314	Hospice Conditions of Participation 418.58(a)(2) ID new measures	New
277295	Hospice Conditions of Participation 418.114 (b)(3)(i)(B)	New
277282	Hospice Conditions of Participation 418.110 (o)(4)	New
277280	Hospice Conditions of Participation 418.76(b)(4) Newly certified Facilities	New
277279	Hospice Conditions of Participation 418.76(b)(4) Existing Facilities	New
277277	Hospice Conditions of Participation 418.56(c)	New
241790	?418.24(c) Addendum Form Development	Modified
241789	?418.24(c) Addendum Form Completion	Modified
230612	Hospice Conditions of Participation 418.108(c)(3)	Modified
230608	Hospice Conditions of Participation 418.110(n) documentation	Removed
211892	Hospice Conditions of Participation 418.58(a)(2) Organize QAPI Data	Modified
211891	Hospice Conditions of Participation 418.58 (a)(2) Document Analysis	Modified
211890	Hospice Condition of Participation 418.58(a)(2) Collect and record data	Modified
211889	Hospice Conditions of Participation 418.58(a)(2) Develop QAPI program	Modified
211888	Hospice Conditions of Participation 418.108(c)(1)	Modified
211887	Hospice Conditions of Participation 418.110(m)	Removed
211886	Hospice Conditions of Participation 418.100(e)	Removed
211885	Hospice Conditions of Participation 418.52(b)(4)	Modified
211884	Hospice Condtions of Participation 418.52(a)(1)	Modified
211883	Hospice Conditions of Participation 418.28(d) develop revocation form	Modified
211882	Hospice Conditions of Participation 418.24(b) explain election statement	Modified
211881	Hospice Conditions of Participation 418.28(d) explain revocation form	Modified
211880	Hospice Conditons of Participation 418.24 develop election form	Modified
195470	Hospice Conditions of Participation 418.22(b)(5)	Modified
195469	Hospice Condition of Participation (418.22(b)(4)	Modified
195468	Hospice Conditions of Participation 418.22(b)(3)	Modified
189585	Hospice Conditions of Participation 418.114 (d) Newly Certified Facility	Modified
189584	Hospice Conditions of Participation 418.114 (d)	Modified
189583	Hospice Conditions of Participation 418.112(e)(3)	Modified
189582	Hospice Conditions of Participation (418.110 (o)(2) newly certified facilities	Modified
189581	Hospice Conditions of Participation 418.110(n)(11) and (n)(15)	Modified
189580	Hospice Conditions of Participation 418.106 (e)(2)(i)(C)	Modified
189579	Hospice Conditions of Participation 418.78(a)(c)(d) and (e)	Modified
189578	Hospice Conditions of Participation 418.76(d)(2)	Modified
189577	Hospice Conditions of Participation 418.56(b)	Modified
189576	Hospice Conditions of Participation (418.52(a)(3)	Modified