Hospice Conditions of Participation (CMS-10277)

OMB 0938-1067

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.

The latest form for Hospice Conditions of Participation (CMS-10277) expires 2022-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10277 Supporting_Statement rev1.docx Supporting Statement A
?418.24(c) Addendum
?418.24(b) Modification
Hospice Conditions of Participation 418.108(c)(3)
Hospice Conditions of Participation 418.110(n) documentation
Hospice Conditions of Participation 418.58 Phase 3
Hospice Conditions of Participation 418.58 Phase 2 aggregate/data analysis
Hospice Condition of Participation 418.58 Phase 2 data entry
Hospice Conditions of Participation 418.58 Phase 1
Hospice Conditions of Participation 418.108(c)
Hospice Conditions of Participation 418.110(m)
Hospice Conditions of Participation 418.100(e)
Hospice Conditions of Participation 418.52(b)
Hospice Condtions of Participation 418.52(a)
Hospice Conditions of Participation 418.28 develop revocation form
Hospice Conditions of Participation 418.24 explain election form
Hospice Conditions of Participation 418.28 explain revocation form
Hospice Conditons of Participation 418.24 develop election form
Hospice Conditions of Participation 418.22(b)
Hospice Condition of Participation (418.22(b)(4) and (b)(5)
Hospice Conditions of Participation 418.22(b)(3)
Hospice Conditions of Participation 418.114 (b)
Hospice Conditions of Participation 418.114 (d)
Hospice Conditions of Participation 418.112(e)(3)
Hospice Conditions of Participation (418.110 (n) new hospice training program
Hospice Conditions of Participation 418.110(n) training
Hospice Conditions of Participation 418.106 (e)
Hospice Conditions of Participation 418.78(a)(c)(d) and (e)
Hospice Conditions of Participation 418.76(c) and (d)
Hospice Conditions of Participation 418.56(b) and (c)
Hospice Conditions of Participation (418.52(a)(3)

All Historical Document Collections

202104-0938-008 Comment filed on proposed rule and continue	Extension without change of a currently approved collection	2021-04-16
202103-0938-005 Approved without change	Revision of a currently approved collection	2021-03-01
202005-0938-006 Comment filed on proposed rule and continue	Revision of a currently approved collection	2020-05-13
201911-0938-003 Approved without change	Revision of a currently approved collection	2019-11-20
201809-0938-005 Comment filed on proposed rule and continue	Revision of a currently approved collection	2018-09-25
201803-0938-001 Approved with change	Reinstatement without change of a previously approved collection	2018-03-16
201406-0938-002 Approved without change	Reinstatement with change of a previously approved collection	2014-06-23
201011-0938-017 Approved without change	Revision of a currently approved collection	2010-11-30
201008-0938-012 Comment filed on proposed rule and continue	Revision of a currently approved collection	2010-08-19
200906-0938-010 Approved without change	New collection (Request for a new OMB Control Number)	2009-06-15

OMB Details

Hospice Conditions of Participation (418.52(a)(3)

Federal Enterprise Architecture: Health - Health Care Services