Impact of Nursing Shortage on Hospice Care Memorandum Summary • Extraordinary Circumstances due to Nursing Shortage - This memorandum extends the
Guidance for: This memorandum to state survey agency directors extends the period of time for hospice agencies to qualify for an “extraordinary circumstance” exemption when they believe that the nursing shortage has affected their ability to directly hire sufficient numbers of nurses.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 17, 2010
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.