Jump to Navigation

OBRA Revisions Compel Written Agreements Between Nursing Home and Hospice Providers

On June 27, 2013, the Centers for Medicare & Medicaid Services adopted a final rule amending the Nursing Facility Requirements of Participation (OBRA) and requiring nursing homes to execute written agreements, or amend existing agreements, with Hospice providers consistent with the new OBRA requirements. The purpose of the new regulations is to improve quality and consistency of care between Hospice providers and nursing facilities in the provision of hospice services to residents of nursing facilities. The written agreement between a hospice and a nursing facility must specify the roles and responsibilities of each entity, ensuring no "overlap" of core services to be provided by the hospice, and specifying the process through which the providers communicate about resident care . The regulations specify minimum requirements that must be set forth in such written agreement. The new regulatory provisions mirror the requirements contained in the Hospice Conditions of Participation, and are now being imposed equally on nursing facilities. The effective date of the new regulations is August 26, 2013. As such, nursing facilities that arrange for the provision of hospice services through one or more Medicare-certified hospice providers will need to ensure that a compliant written agreement is in place.

If you have any questions regarding the new regulations, or would like assistance in developing a new agreement or reviewing your existing agreement for regulatory compliance, please feel free to contact David C. Marshall, Esq., or Dayna E. Mancuso, Esq.

No Comments

Leave a comment
Comment Information

Contact Us

Bold labels are required.

Contact Information

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.


Privacy Policy

subscribe to this blog’s feed FindLaw Network


Exton Office
350 Eagleview Boulevard, Suite 100
Exton, PA 19341
Phone: 610-524-8454
Fax: 610-524-9383
Map and Directions

Mechanicsburg Office
1700 Bent Creek Boulevard,
Suite 140

Mechanicsburg, PA 17050

Phone: 717-620-2424
Fax: 717-620-2444
Map and Directions

New Jersey

Mount Laurel Office
309 Fellowship Road
East Gate Center, Suite 200
Mount Laurel, NJ 08054
Phone: 856-231-5351
Fax: 610-524-9383
Map and Directions

In Maryland call:
Phone: 410-727-2810