Eligibility For Hospice Care

Eligibility For Hospice Care

To begin hospice care, patients must meet the hospice eligibility requirements established by the U.S. Centers for Medicare & Medicaid Services. While there are no specific number of symptoms that are required when qualifying for hospice, these general guidelines may help determine if a patient’s condition is, or will soon be, an appropriate fit for hospice care.

Eligibility For Hospice Care

Eligibility For Hospice Care

Eligibility for hospice requirements:

  • Patient has been diagnosed with a life-limiting condition with a prognosis of six months or less if their disease runs its normal course
  • Frequent hospitalizations in the past six months
  • Progressive weight loss (taking into consideration edema weight)
  • Increasing weakness, fatigue, and somnolence
  • A change in cognitive and functional abilities
  • Compromised Activities of Daily Living (ADLs) such as eating, bathing, dressing, toileting, transferring/walking, and continence
  • Deteriorating mental abilities
  • Recurrent Infections
  • Skin breakdown
  • Specific decline in condition


Disease-specific hospice eligibility criteria:

There are also specific hospice eligibility criteria to consider based on the patient’s primary diagnosis. Choosing from the list of diseases below will let you read the applicable requirements for hospice care.

  • AIDS
  • Cancer
  • Cerebral Vascular Accident (CVA) / Stroke
  • Congestive Heart Failure / Cardiopulmonary Disease
  • COPD / Cardiopulmonary Disease
  • Dementia
  • Liver Disease
  • Neurological Conditions (non-Alzheimer’s dementia, Parkinson’s disease, Multiple Sclerosis, ALS, and Huntington’s disease)
  • Renal Disease

Financial requirements for hospice are:

  • Medicaid hospice eligibility criteria
  • Medicare  hospice eligibility criteria
  • Private insurance hospice eligibility criteria

Please note: 

Co-morbidities, the presence of two or more chronic diseases or conditions at the same time, are also a factor to consider in qualifying for hospice.

If you have any doubts about whether you or your loved one have met the requirements for hospice care, please contact us.

Who can contact or ask for hospice services?

  • Patients’
  • Members of the family or acquaintances
  • Physicians or medical practitioners

Contact Nevada Hospice Care as soon as possible. If you’re not sure whether hospice is the right choice, we can help. Families are provided with the resources they need to realize what to anticipate as the conditions of their loved one’s advance.

What is to be expected?

  • A qualified and professional Hospice Admissions Representative can schedule a confidential meeting for you and your relatives.
  • Each patient is assessed independently to evaluate their prognosis and whether their therapeutic priorities are compatible with what hospice offers.
  • A doctor’s referral is received before admission, and the evaluation of the hospice should be completed; federal or state laws require hospice eligibility to be proven.

Centers for Medicare and Medicaid (CMS) recommends doctors to refer ASAP the patients with life-limiting diseases, noting:

  • A prognosis doesn’t need to be set in stone because specific end-stage scenarios include unforeseeable paths.
  • Patients may feel better at first
  • Hospice can, on occasion, last longer than six months


When a doctor has confirmed that a life expectancy is six months or fewer, you might be considered for hospice. You are always entitled to change your mind and go back to curative therapy should you believe it’s the best choice for you or your loved one. You can also be referred to the hospital for other forms of care, as long as the treatment is not linked to the condition of the hospice care, and the therapy includes enhancing the quality of life.




Family Testimonials


Nevada Hospice Care treated my Mom with great kindness, respect, and dignity in her final days. I will always be thankful for their sensitive, yet direct approach to helping me cope with loss, but most importantly their genuine, thoughtful attentiveness to my Mom. Thank you.

Lisa H.

When my.husband, Dean Abney, was in Nevada Memory Care. Nevada Hospice Care was so loving & compassionate. Hospice also provided entertainment for the residents. Also provided for other groups to come to brighten patients’ day. Always had the best interest of others in mind to make sure patients comfortable &.content. if anyone needs to consider Hospice care. This facility comes highly recommended. All staff gives of themselves, kindness, love & concern. My husband passed away peacefully on January 28, 2018. I had a final time with him just before. He went to take a nap as I left. I.hope these words provide hope, peace of mind to anyone needing Hospice care. Roberta LuAnn Abney.

Roberta A.

No more emotional & difficult decision exists in life then when deciding who to entrust with the care of your loved ones. We were very lucky and quite blessed to find Nevada Hospice Care. The home is located in a quiet and beautiful neighborhood. The facility is kept extremely clean and most importantly the staff is top-notch, caring and loving people who provide 24/7 care with the most difficult of situations. Affordable & extremely professional yet wonderfully personal. We couldn’t be happier with our experience. Thank you Nevada Hospice Care! 🙏🏼

Dan L.

….. the care is exceptional. There is no other better peace of mind knowing your loved one is cared for and loved. I’m eternally grateful for this company and their staff.

Gina S.

…I even hear from Pastor Adam checking on me and my family. If anyone is in need of help for their loved ones and are looking for the best care ever I would highly recommend Nevada Hospice Care and all of their staff. Stay safe and love one another ….

Kathryn G.

I have ran care homes for 7 years. I have had their service on numerous residents and they have some of the best staff. From their CNA’s to Management, they are always willing to give my staff TB tests and training. I cannot tell them enough how much I appreciate their service. They are always willing to help out! Thank you, Thank you, Thank you!!!

Nichole C.

Nevada Hospice Care took care of my Mother-in-law who had terminal cancer. The attention and care they gave was what we needed during that horrible time for our family. I will always be thankful to the amazing CNA and Nurse who cared for her and the management team who made it all possible. Thank You

Maria H.

The professional and caring services that your organization provided for our loved one at the will never be forgotten. The book that you provided helped the family understand the full process of transitioning, it was very comforting. Each day you kept him clean and made the end of his life a comforting experience. We can’t thank you enough.


Everything we felt our brother needed, from the custom requests for breakfast to a different bed, Nevada Hospice Care responded immediately without question. As they monitored my brother on a daily basis, they recommended changes to us so that we could make the decisions for our brother.


To all members of Nevada Hospice who assisted my mom. Thank you all for your compassion and kindness to my mom and me during the last hours of her life. I will always remember your kind words to me. You are a wonderful group of people.

Rosemary Testimonial