Hospice Waiver ARF

When a resident becomes terminally ill, you want them to stay in the home they know, surrounded by familiar faces. An ARF can’t accept or keep a client who receives hospice services until Community Care Licensing approves a Facility Hospice Care Waiver. This toolkit helps you prepare a clear, complete request and stay in compliance once it’s approved.

What’s inside:

• Pre-submission readiness checklist covering licensing standing, fire clearance, staffing, training, policies and your hospice agency relationship
• Waiver request letter addressed to your Licensing Program Analyst, organized around what Title 22 asks for
• Total care and prohibited health condition language, pre-written for clients who may later need total care
• Sample letter for requesting exceptions beyond the standard waiver
• Post-approval compliance forms: client request, roommate acknowledgment, notice, incident report and staff training log
• Best-practice guidance on submitting your request and following up