OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Hospice Conditions of Participation (CMS-10277)

OMB 0938-1067 ยท HHS/CMS.

OMB 0938-1067

The CoPs and accompanying requirements specified in the regulations are used by Federal or State surveyors as a basis for determining whether a hospice qualifies for approval or re-approval under Medicare. CMS and the healthcare industry believe that the availability to the hospice of the type of records and general content of records, which this regulation specifies, is standard medical practice, and is necessary in order to ensure the well-being and safety of patients and professional treatment accountability.

The latest form for Hospice Conditions of Participation (CMS-10277) expires 2029-02-28 and can be found here.

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All Historical Document Collections
 Reinstatement with change of a previously approved collection 2025-08-28
Comment filed on proposed rule and continue
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Approved without change
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Comment filed on proposed rule and continue
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Approved with change
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Approved without change
 Reinstatement with change of a previously approved collection 2014-06-23
Approved without change
 Revision of a currently approved collection 2010-11-30
Comment filed on proposed rule and continue
 Revision of a currently approved collection 2010-08-19
Approved without change
 New collection (Request for a new OMB Control Number) 2009-06-15
OMB Details

Hospice Conditions of Participation (418.52(a)(3)

Federal Enterprise Architecture: Health - Health Care Services