{"ref":"DC-HSP-GOV-03","title":"Authority to Operate: No District Hospice License, Certificate of Need and Medicare Certification","category":"Governance","summary":"States plainly that the District of Columbia does not issue a hospice license, and sets out what does authorize the Agency to operate: a Certificate of Need from SHPDA where D.C. Code §44-406 requires one, Medicare certification under 42 CFR Part 418 with surveys by the State Agency, accurate Medicare enrollment, and DC Medicaid enrollment if the Agency takes DC Medicaid. Includes the survey, plan of correction and informal dispute resolution steps and one log for every filing.","inShort":["The District does not issue a hospice license. We operate as a Medicare-certified hospice.","We hold a Certificate of Need from SHPDA and follow every condition in it.","DC Health surveys us for Medicare at least every 36 months and when there is a complaint.","After a survey, our plan of correction goes in within 10 calendar days.","Tell the Administrator at once about any letter from SHPDA, CMS, the Medicare contractor or DHCF."],"primaryCitation":"D.C. Code §44-406","citations":["D.C. Code §44-501(a)(8)","D.C. Code §44-502(c)","D.C. Code §44-401(3), (10)(A), (15)(A)","D.C. Code §44-405(a)","D.C. Code §44-406(a)","D.C. Code §44-411","D.C. Code §44-415","D.C. Code §44-416","22-B DCMR §4005","22-B DCMR §4006","22-B DCMR §4007","22-B DCMR §4008","29 DCMR §939.4(a)"],"federalCitations":["42 CFR §418.116","42 CFR §420.206","42 CFR §424.515","42 CFR §424.516(e)","42 CFR §424.527","42 CFR §424.550(b)","42 CFR §488.1110","42 CFR §488.1130","42 CFR §488.1135","42 CFR §488.1220","91 FR 27946 (May 15, 2026)"],"surveyorAsks":["What authorizes you to operate a hospice in the District? Show me your Certificate of Need and your Medicare certification.","Show me your last statement of deficiencies and your plan of correction. When did you submit it?"],"forms":[{"ref":"DC-HSP-GOV-03-A","title":"Certificate of Need, Certification and Survey Log"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (D.C. Code §44-406)","5. The District’s Position on Hospice Licensure","6. Certificate of Need","6.1 When a Certificate of Need is needed","6.2 Before operation begins","6.3 Keeping the Certificate of Need in force","6.4 Health planning data and uncompensated care","6.5 Penalties","7. Medicare Certification and Enrollment","8. Surveys, Deficiencies and Plans of Correction","9. DC Medicaid Enrollment","10. Responsibilities","11. Records and Compliance Monitoring","12. References","13. Related Policies and Forms","14. Approval","15. Revision History"],"version":"1.0","sample":false,"pack":"dc-hospice","state":"Washington, DC","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}