Hospice Criteria / Eligibility

Gateway Hospice is available 24/7 for complimentary
evaluations to determine hospice eligibility.

Eligibility and the Local Coverage Determinations (LCDs)

In order to be eligible to elect hospice care under Medicare, an individual must be entitled to Part A of Medicare and certified as being terminally ill by a physician and having a prognosis of 6 months or less if the disease runs its normal course.

The LCDs are used as guidelines to help a physician determine hospice eligibility. The LCDs are not regulations and should not be used exclusively to determine or provide evidence of hospice eligibility. Certification or recertification is based upon a physician’s clinical judgment, and is not an exact science. Gateway Hospice provides complimentary screenings for eligibility, contact us at 1-877-878-2244.

Click on the links below to download disease-specific hospice criteria.