42 CFR §488.1265
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)Effect of termination by CMS. Termination of the provider agreement ends—
- (b)Basis for termination. CMS terminates a hospice program's provider agreement under any one of the following conditions:
- (1)The hospice program is not in compliance with the conditions of participation.
- (2)The hospice program fails to submit an acceptable plan of correction within the timeframe specified by CMS.
- (3)The hospice program fails to relinquish control to the temporary manager, if that remedy is imposed by CMS.
- (4)The hospice program fails to meet the eligibility criteria for continuation of payment as set forth in § 488.1260(a)(1).
- (c)Notice. CMS notifies the hospice program and the public of the termination, in accordance with procedures set forth in § 489.53 of this chapter.
- (d)Procedures for termination. CMS terminates the provider agreement in accordance with procedures set forth in § 489.53 of this chapter.
- (e)Payment post termination. Payment is available for up to 30 calendar days after the effective date of termination for hospice care furnished under a plan established before the effective date of termination as set forth in § 489.55 of this chapter.
- (f)Appeal. A hospice program may appeal the termination of its provider agreement by CMS in accordance with part 498 of this chapter.