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Interdisciplinary Team
Medicare Benefit Policy Manual (CMS Pub. 100-02, Ch.9 §40.4)
The Interdisciplinary Team (IDT) or Group (IDG) is the team responsible for the holistic care of the hospice beneficiary. It is this team which is responsible for development and review of the beneficiary’s plan of care. The team is comprised of team members including:
- Physician
- Nursing
- Counseling
- Medical Social Services
- Chaplain Services
- Bereavement Services
- Home Health Aide Services
- Volunteer Coordinator
Core Services of the Interdisciplinary Team
Medicare Benefit Policy Manual (CMS Pub. 100-02, Ch.9 §40.4)
There are three services that must routinely be provided directly by hospice employees. Those services are:
- Nursing care
- Medical social worker (MSW)
- Counseling
Supplemental services and physician specialty services may be contracted by the hospice in order to meet unusual staffing needs. In extraordinary circumstances, hospices may also contract for core services. Hospices must maintain evidence of the extraordinary events that required them to contract for the core services and must comply with the following:
- Hospice must assure contracted staff is providing care that is consistent with the hospice philosophy and the beneficiary’s POC.
- Hospices may not routinely contract for a specific level of care (e.g., continuous care) or during specific hours (e.g., weekends).
When contracting services are used, the hospice maintains professional, financial and administrative responsibilities.
Page last updated: May 17, 2010
