Americare Hospice, Inc offers specialized care for individuals facing terminal illness, providing medical, physical, social, emotional, and spiritual aspects of patient care.

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Hospice and Palliative Care Eligibility

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ShapeELIGIBILITY CRITERIA

Eligibility Criteria For Our Services

In order to begin hospice and palliative care, patients must meet certain eligibility requirements established by the U.S. Centers for Medicare & Medicaid Services. Eligibility criteria for hospice and palliative care can vary depending on the specific needs of the patient and the regulations of healthcare providers. You may contact us for assistance in determining eligibility. Additionally, the hospice medical director or hospice physician in collaboration with the patient’s attending physician, if any, determine if the patient is eligible.

Below are some general guidelines for eligibility requirements in each service area:

There are also medical criteria that a person must meet to qualify for hospice services. To qualify, a patient must: 

  • Have a life-limiting or terminal illness with a prognosis of 6 months or less 
  • No longer seek curative/aggressive treatment for that illness 
  • Want hospice services 
ShapeHOSPICE ELIGIBILITY

Hospice Eligibility Guidelines

Terminal Illnesses Or Prognosis

Normally, hospice services are provided when a patient has a terminal illness or other prognosis that may result in life expectancy of six months or less (Patients may receive services for longer if the illness does not run its normal course).

Decision to Elect Hospice

When the family or patient elects the hospice benefit.

Focus on Comfort Care

The patient chooses to receive palliative rather than curative treatment, focusing on comfort and quality of life.

Frequent Hospitalizations

The patient has had multiple hospitalizations or emergency room visits in the past six months.

Declining Functional Abilities

The patient shows significant decline in their ability to perform activities of daily living (e.g., bathing, dressing, eating).

Frequent Infections

The patient has recurrent infections, such as pneumonia or urinary tract infections.

Other Comorbid Conditions:

Increased pain, difficulty breathing, fatigue, and other symptoms that affect the quality of life, among other things.

Hospice Care Eligibility
Hospice Care Eligibility Requirements

**Please contact us at (818) 641-5957 for assistance with questions regarding eligibility**

Palliative Care Eligibility
Hospice Care Eligibility Options
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Palliative Care Eligibility Guidelines

Serious Illness Diagnosis

The patient has a serious, chronic, or life-threatening illness such as cancer, heart disease, lung disease, kidney failure, or neurological conditions.

Symptom Management

The patient needs help managing symptoms such as pain, nausea, breathlessness, fatigue, depression, or anxiety.

Frequent Medical Care

The patient frequently uses medical services such as emergency rooms, hospitals, or clinics.

Need for Supportive Care

The patient requires additional support to understand treatment options and to make decisions about their care.

Complex Medical Needs

The patient has complex medical needs that require coordination of care among multiple healthcare providers.

Quality of Life Focus

The patient and family are looking to improve or maintain quality of life alongside curative treatments.

Palliative Care Eligibility
Hospice Care Eligibility Options
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About Our Hospice and Palliative Care Services

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Hospice Services

Hospice care is a benefit which includes expert, compassionate individualized care which focuses on personal goals and optimizes quality of life for people facing life-limiting illness. Care is delivered wherever you or your loved one calls home.

HOSPICE SERVICES
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Palliative Care

Palliative care is a medical specialty focused on providing relief from the symptoms, pain, and stress of serious illness. It is designed to improve quality of life for the patient and their family by addressing physical, emotional, social, and spiritual needs.

PALLIATIVE CARE

Get the Best in Care With Our Experienced Team.

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