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.
This request 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 4,095,725 hours. There was an industry increase of 1.6% from 4,032,329 to 4,095,725. The overall number of applicable hospice elections per year increased from 1,168,048 hospice elections per year while current estimates expect 1,517,250 applicable hospice elections per year (+349,202). The current number of applicable hospices is 6,732 while the prior reinstatement documented that 6,414 applicable hospices were providing Medicare hospice services (+318). The hospice facilities, the number of hospice patients, and the number of responses per hospice subject to the payment regulation changes have increased, thereby increasing burden hours across the industry.
$13,274,504
No
No
No
Yes
No
No
No
Jamaa Hill 301 492-4190
Reginfo record details
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.
CMS-10277 - Model Hospice Election Statement Addendum.docx
CMS-2026-1156-0065-A1.pdf
Hospice Conditions of Participation 418.22(b) Certification Form Development