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Hospice Eligibility

Appropriate identification of hospice- eligible patients increases the likelihood that they and their families will benefit from compassionate, end-of-life hospice care. Healthcare professionals must certify that patients meet Medicare guidelines to be eligible for hospice services with Anthem Hospice Care. 

Admission Criteria

  • Candidates for hospice care are patients who have been diagnosed with life-limiting illnesses and have a prognosis of six months or less. 
  • Patient has a declining functional status with a dependence in activities of daily living. 
  • Patient has alteration in nutritional status 
  • Patient has an observable and documented decline in overall clinical condition in the past 4-6 months despite aggressive medical treatments 
  • Patient has had frequent hospitalizations or trips to the ER
  • Patient is exhibiting signs of increasing illness such as uncontrolled pain, shortness of breath, and frequent or recurring infections.  

Make a Referral

The referral process is typically initiated by a patients primary care physician. However, the referral process can be initiated by other health care professionals, family members, friends, facilities, or patients themselves. Please leave us your information or contact us for an evaluation.