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Advance Care Planning

This revised Product comprises Subregulatory Guidance for Advance Care Planning and its content is based on publically available content within,,,, and CMS policy or operation subject matter experts also reviewed/cleared this product. This Product educates providers on the voluntary face-to-face service between a physician or other qualified health care professional and a patient, family member, caregiver, or surrogate to discuss the patient’s health care wishes if they become unable to make their own medical decisions. This Product contains no substantive changes to the previous version dated February 2023.

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: April 08, 2024

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.