OAR 410-142-0220: Requirements for Coverage

To be covered, hospice services must meet the following requirements: (1) They must be reasonable and necessary for the palliation or management of the terminal illness as well as related conditions. (2) The individual must elect hospice care in accordance with OAR 410-142-0100 and a plan of care must be established as set forth in 410-142-0180 before services are provided. (3) The services must be consistent with the plan of care. (4) A certification that the individual is terminally ill must be completed as set forth in OAR 410-142-0060.