Levels of Care

Levels of Hospice Care Provided by ALLSTAR Hospice
The Medicare Hospice Benefit includes all of these levels of care, and is covered 100% by Medicare. A patient may be admitted into a hospice program at any level of care as determined by their individual needs and the patient may transition between the levels of care as the need arises.

1. Routine Home Care:

  • The most common type of hospice services in the United States (typically >90% of all hospice care is in this category).
  • The Hospice interdisciplinary team includes a medical director, nursing services, chaplain/spiritual counselor, and social worker. These core services are provided in the patient's home. Services can also include volunteers and aides to assist with activities of daily living (bathing, dressing, grooming, etc).
  • The patient's home may be a private home, an assisted living facility, a residential care home, a nursing home, or wherever the patient lives.

2. Respite Care

  • Respite care is a short-term inpatient care to relieve the family/primary caregiver. Caregivers often schedule respite in order to rest, travel, catch up on errands, or tend to their own health needs.
  • Respite care is covered under the hospice benefit for up to 5 consecutive days and 4 nights.
  • The hospice agency may provide respite in a variety of contracted settings such as a nursing home or skilled nursing facility.
  • Hospice services continue while the patient is receiving respite care.

3. Continuous Home Care

  • Allows hospice patients to remain in their own home, and receive intensive nursing and other support sevices to manage their acute symptoms through brief periods of crisis.
  • A patient meets criteria for Continuous care when this level of services is needed to manage uncontrolled pain, nausea, respiratory distress, or restlessness when patient reaches imminent stage.
  • Hospice aides and homemaker services or both may be used to cover the care needs.
  • Nursing care (RN or LVN) must provide over 50% of the care.

Possible Location for Hospice Patients

  • Home (47% of hospice patients expire at home)
  • Skilled Nursing Facility
  • Long Term Care Facility
  • Asisted Living Facility
  • Hospital
  • Hospice House (17% of hospice patients)
  • Residential Care Home