Hospice Criteria / Eligibility

Gateway Hospice is available 24/7 for complimentary
evaluations to determine hospice eligibility.
1-877-878-2244

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.