This page provides comprehensive resources for hospice providers in Missouri to navigate Hospice Medicare & State Licensure and certification requirements. It includes all necessary applications and forms for initial setup, as well as specific guidelines for changes of ownership to ensure continuous regulatory compliance. Users can access critical legal documents, including state hospice regulations and federal interpretive guidelines, to maintain high standards of patient care. Additionally, the portal offers essential information on patient rights and criminal background checks to help agencies meet state and federal safety mandates.
Hospice Medicare & State Licensure Change of Ownership
This will provide you with the requirements and necessary paperwork to complete both licensure and Medicare Certification change of ownership processes.
- Change of Ownership Guidelines – Medicare Certified and State Licensed Hospice
- Application for Hospice Certification
- Health Insurance Benefit Agreement
- 19 CSR 30-35 - Hospices
- Federal Interpretive Guidelines - Hospices
- Chapter 30 Hospices
- Office for Civil Rights Packet Information
- State Disclosure of Ownership Form
- State Hospice - Certification
- Hospice Request for Certification in Medicare Program
Hospice Medicare & State Licensure Forms & Resources
This will provide you with the requirements and necessary paperwork to complete both state licensure and Medicare Certification processes.
- How to Apply
- Hospice Tool
- Hospice Quality Assessment/Performance Improvement New!
- Application for Hospice Certification
- Home Health Aide Competency Evaluation - Call our office at 573/751-6336 to obtain a copy.
- Health Insurance Benefit Agreement
- Chapter 30 Hospices - 197.250 - 197.280, RSMo (state)
- Federal Interpretive Guidelines - Hospices (State Operations Manual - Appendix M)
- 19 CSR 30-35.010 - 30-35.030 Hospice Program Operations (state)
- State Disclosure of Ownership and Control Interest Statement
- Office for Civil Rights Packet Information
- Criminal Background - 660.317
- Hospice Request for Certification in Medicare Program
- 42 CFR 418 Conditions of Participation for Hospice (federal)
- Alzheimer's and Dementia Specific Training - 660.050
- Family Care Safety Registry [NEEDS LINK]
- Advance Directive Information - 42 CFR 489.100-489.104
- Missouri Law Regarding a Patient's Right to Make Health Care Treatment Decisions
- Pharmacy Rule
- Hepatitis B - 29 CFR 1910.1030(f)(1), (i)(ii),(ii)(A),(2)(iv)