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Enhancing RN Supervision of Hospice Aide Services

This revised product comprises Subregulatory Guidance for frequency and documentation requirements of registered nurse (RN) supervisory visits, and its content is based on publically available content within at and CMS policy or operation subject matter experts also reviewed/cleared this product. This product educates on RN’s role in supervising hospice aide service, RN supervisory visits and documentation requirement of RN supervisory visits.
Revisions to this product didn’t include any substantive content updates. The previous version of this product is available to the public and currently posted on the CMS website at

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 10, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.