Services

One care model, individualized for each person

Hospice care is delivered by an interdisciplinary team. What each patient receives is defined by their individualized plan of care, reassessed as needs change, and subject to current authorization.

Care model

How the interdisciplinary team works

A single accountable pathway connects assessment, planning, delivery, and review — so families and referring clinicians are not left assembling information themselves.

Step one

Assess

Clinical eligibility review, goals-of-care conversation, home and caregiver assessment, and documentation of the patient's informed choices.

Step two

Plan

An interdisciplinary plan of care defines visit types, frequency, medications, equipment, and support services — including the level of care indicated at that time.

Step three

Review

Scheduled interdisciplinary review and reassessment when symptoms, setting, or caregiver capacity change, with documented updates shared with the care team.

Individualized by plan of care

Services described on this page are provided only as indicated by the interdisciplinary plan of care and only within the scope of current authorization. Nothing here guarantees a specific service, visit frequency, level of care, or admission outcome.

Levels of care

Compare the four levels of care

Levels are defined nationally under the hospice model of care. Each is described here for education only.

Routine Home Care

Setting: Patient's home, assisted living, or nursing facility
Primary focus: Ongoing symptom management, education, and family support
Description: The most common level of hospice care. An interdisciplinary team makes scheduled visits wherever the patient calls home — a private residence, assisted living community, or nursing facility. Visit type and frequency are set by the plan of care and adjusted as needs change. Routine home care does not include continuous bedside staffing.

Continuous Home Care

Setting: Patient's place of residence
Primary focus: Short-term crisis stabilization to avoid unnecessary transfer
Description: A time-limited level of care intended for brief periods of medical crisis, when predominantly nursing care is required for several hours in a day to manage acute symptoms at home. Eligibility is determined by documented clinical criteria and reassessed frequently. It is provided only for as long as the crisis criteria are met.

Inpatient Respite Care

Setting: Contracted inpatient facility
Primary focus: Caregiver relief with continuity of the hospice plan of care
Description: Short-term care provided in a contracted facility so that a family caregiver can rest or attend to other obligations. Respite stays are limited in duration under hospice benefit rules and depend on available contracted beds at the time of request.

General Inpatient Care

Setting: Contracted hospital or inpatient hospice unit
Primary focus: Intensive symptom management for acute needs
Description: A short-term level of care for pain or symptoms that cannot reasonably be managed in other settings, delivered in a contracted hospital or inpatient unit. Admission requires documented clinical need and is reassessed continuously, with the goal of returning the patient to their preferred setting when symptoms are controlled.

Comparison of the four hospice levels of care by setting, focus, and description
Level of care	Setting	Primary focus	Description
Routine Home Care	Patient's home, assisted living, or nursing facility	Ongoing symptom management, education, and family support	The most common level of hospice care. An interdisciplinary team makes scheduled visits wherever the patient calls home — a private residence, assisted living community, or nursing facility. Visit type and frequency are set by the plan of care and adjusted as needs change. Routine home care does not include continuous bedside staffing.
Continuous Home Care	Patient's place of residence	Short-term crisis stabilization to avoid unnecessary transfer	A time-limited level of care intended for brief periods of medical crisis, when predominantly nursing care is required for several hours in a day to manage acute symptoms at home. Eligibility is determined by documented clinical criteria and reassessed frequently. It is provided only for as long as the crisis criteria are met.
Inpatient Respite Care	Contracted inpatient facility	Caregiver relief with continuity of the hospice plan of care	Short-term care provided in a contracted facility so that a family caregiver can rest or attend to other obligations. Respite stays are limited in duration under hospice benefit rules and depend on available contracted beds at the time of request.
General Inpatient Care	Contracted hospital or inpatient hospice unit	Intensive symptom management for acute needs	A short-term level of care for pain or symptoms that cannot reasonably be managed in other settings, delivered in a contracted hospital or inpatient unit. Admission requires documented clinical need and is reassessed continuously, with the goal of returning the patient to their preferred setting when symptoms are controlled.

Availability and eligibility

Service availability, eligibility, coverage, payment, and admission depend on current authorization, clinical review, patient choice, and capacity.

Disciplines and coordination

What the team brings together

Skilled nursing

Assessment, symptom and pain management within the plan of care, caregiver teaching, and documentation that keeps the whole team aligned.

Medical direction

Physician oversight of eligibility determination and the plan of care, in collaboration with the patient's attending physician when the patient designates one.

Hospice aide support

Assistance with personal care and comfort measures under nursing supervision, scheduled according to assessed need.

Psychosocial support

Social work support for coping, decision-making, advance care planning conversations, and connection to community resources.

Spiritual care

Chaplain support offered in a manner that respects the patient's faith, tradition, or decision to decline spiritual services.

Bereavement services

Structured grief support for families following a death, offered over a defined period consistent with hospice practice.

Medication and DME coordination

Coordination of medications and durable medical equipment related to the terminal diagnosis with contracted suppliers, including delivery and education logistics.

Respite and inpatient coordination

Arrangement of short-term respite or inpatient levels of care with contracted facilities when clinical criteria and beds allow.

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