Hospice Eligibility Criteria


In order to begin hospice care, patients must meet the hospice eligibility requirements established by the U.S. Centers for Medicare & Medicaid Services. While no specific number of symptoms is required when qualifying for hospice, these guidelines can help determine if a patient’s condition is, or will soon be, appropriate for hospice care.

Hospice eligibility 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.




Cerebral Vascular Accident (CVA) / Stroke

Congestive Heart Failure / Cardiopulmonary Disease

COPD / Cardiopulmonary Disease


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.

Affinity Hospice is ACHC ACCREDITED





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Fax. 713-957-2292
350 N Texas Ave
Ste B
Webster, Texas 77573


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