The Long-Term Care Regulatory Provider Letter PL 2022-33 provides guidance for Home and Community Support Services Agencies (HCSSAs) wanting to offer supportive palliative care services. The letter clarifies that providers of in-home supportive palliative care services must hold a HCSSA license with a licensed home health category. Agencies must assess clients' and families' needs, coordinate care, and ensure services are physician-directed. The letter also distinguishes supportive palliative care from hospice care, emphasizing that supportive palliative care can be provided concurrently with curative treatments. Agencies must hold interdisciplinary client care conferences and have policies and procedures governing client care. During licensure surveys, compliance with these standards will be assessed. Nursing homes and healthcare facilities offering supportive palliative care must ensure they meet these requirements and update their policies and procedures accordingly.

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