Hospice Eligibility by Diagnosis

Hospice eligibility, one condition at a time.

Grounded in the MAC Local Coverage Determinations, each guide gives you the quick eligibility criteria, a composite documentation example, and a workflow for a defensible admission. Use the interactive Eligibility Checklist to walk any of these frameworks live.

What you’ll learn

Topic 1

Cancer (advanced / metastatic)

Advanced cancer is the most common hospice diagnosis and one of the clearest LCD frameworks.

Learn more
Topic 2

Heart failure (CHF)

Heart failure is one of the most commonly under-documented hospice-eligible diagnoses.

Learn more
Topic 3

COPD / advanced pulmonary

COPD is one of the hardest hospice-eligible diagnoses to document well because decline is slow and non-linear.

Learn more
Topic 4

Dementia (Alzheimer's / related)

Dementia is one of the most common hospice diagnoses and also one of the most under-documented at admission.

Learn more
Topic 5

Renal failure (end-stage)

Renal failure eligibility depends primarily on whether the patient is pursuing dialysis or transplantation.

Learn more
Topic 6

Liver disease (end-stage)

End-stage liver disease eligibility centers on lab-based synthetic-function markers plus at least one major decompensation, in a patient who is not a transplant candidate or is declining.

Learn more
Topic 7

Neurological disease (non-ALS, non-Parkinson’s)

The MAC neurological LCD is broad — it applies to advanced multiple sclerosis, Huntington’s disease, muscular dystrophies, and other neurodegenerative conditions not covered by more specific LCDs (ALS, Parkinson’s, dementia, stroke).

Learn more
Topic 8

Stroke / coma

Post-stroke hospice eligibility applies to patients with severe residual deficits at 6+ weeks post-event plus decline.

Learn more
Topic 9

ALS (amyotrophic lateral sclerosis)

ALS is one of the clearest hospice-eligible diagnoses.

Learn more
Topic 10

Parkinson's disease (advanced)

Advanced Parkinson’s eligibility parallels the dementia LCD in structure but centers on the motor and swallowing complications specific to advanced PD (or PD-related dementia).

Learn more

Content grounded in authoritative sources

CMS Medicare Coverage Database (LCDs)CMS Medicare Benefit Policy Manual Ch. 942 CFR §418MAC-specific hospice LCDs (Palmetto / CGS / Noridian)

Educational content only. Not a substitute for your organization’s policies, your medical director’s clinical judgment, or current CMS guidance. See individual pages for author/reviewer bylines and last-reviewed dates.

Learn hospice. Master hospice. Stay in hospice.

Create a free account to save your progress, earn achievements toward the Hospice Professional Passport, and get personalized next-step learning.