Agreements & Waivers

RCFE Hospice Waiver Request

When a hospice resident's care needs exceed what an RCFE is normally licensed to provide, California law requires a formal written waiver request to CDSS before the resident can remain in your facility. This document covers all required elements.

Regulatory requirement H&SC §1569.73 & CCR §87633 - Waiver required to retain a hospice resident exceeding standard care scope

What’s included

  • CDSS-format hospice waiver request letter with all required sections
  • Resident hospice diagnosis and prognosis documentation section
  • Hospice agency coordination and written agreement provisions
  • Physician certification and medical director sign-off blocks
  • Care plan describing how each elevated need will be managed
  • Staff training records summary section for hospice-related tasks
  • Family or responsible party consent documentation
  • Editable Microsoft Word format

Who needs this

  • RCFE administrators whose resident has enrolled in hospice and whose needs now exceed standard RCFE scope
  • Facilities that want to keep a long-term resident enrolled in hospice rather than transfer them to a SNF
  • Owners working with a hospice agency to establish a formal care arrangement at the facility
Agreements & Waivers $129
  • Instant download
  • California RCFE compliant
  • Editable Word format
  • One-time purchase
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3

Customize and use

Fill in your facility-specific details in the editable Word file and include it in your CDSS application or operations.

Questions answered

Frequently asked questions

What is a hospice waiver for an RCFE?

An RCFE is licensed to provide non-medical residential care. When a resident enrolls in hospice, their care needs may exceed what an RCFE is normally permitted to provide. A hospice waiver is a formal request to CDSS to allow the resident to remain in the RCFE and receive hospice services on-site, rather than transferring to a skilled nursing facility.

Under which code section is the hospice waiver required?

Health and Safety Code §1569.73 authorizes CDSS to grant waivers allowing RCFE residents to receive hospice care exceeding the standard scope of care. CCR §87633 sets out the requirements for how RCFEs must coordinate with hospice agencies and document the arrangement.

What does the hospice agency's role include in this process?

The hospice agency must provide a written plan of care, supply the clinical staff who provide skilled nursing and aide services, coordinate with the resident's physician, and work with the RCFE administrator to ensure the facility can safely support the resident's remaining needs. The RCFE provides room, board, personal care, and supervision. The hospice provides the clinical services.

Can CDSS deny a hospice waiver request?

Yes. CDSS reviews the request and may deny it if the resident's care needs cannot safely be met in a residential (non-skilled-nursing) setting, if the hospice agency cannot provide adequate clinical coverage, or if the RCFE does not have staff trained for the required care tasks. Incomplete documentation is a common reason for delays.

What happens to the resident if the waiver is not approved in time?

If CDSS does not approve the waiver and the resident's needs exceed the RCFE's licensed scope, the facility is required to initiate a discharge to an appropriate level of care. Retaining a resident with unmet needs beyond the RCFE's scope without an approved waiver is a licensing violation. This is why submitting a complete request as early as possible is critical.