Effective May 13, 2026, CMS implemented a nationwide moratorium on new Medicare enrollments for home health agencies and hospices. Learn what this means for your organization.
Compassionate support
Hospice Accreditation
Inspiring excellence in patient-centered care.
I AM:
New to Accreditation
New to ACHC
ACHC-Accredited
Welcome
As a social worker with 19 years’ experience in hospice, I know the dedication and compassion that are integral to this work. ACHC Accreditation helps hospice organizations create a sustainable operational framework that builds on that commitment.
Our commitment is longstanding. ACHC developed its first set of standards for hospice care in 1996 and we’ve held deeming authority from the Centers for Medicare and Medicaid Services (CMS) since 2009.
ACHC’s Hospice Accreditation team is comprised of your peers; people who understand the uniquely collaborative structure and the scope of care delivered by hospice organizations. We are ready and willing to help you get started or to support your ongoing accreditation. My colleagues across ACHC —account advisors, regulatory experts, clinical educators, and surveyors—all share a deep understanding of how agencies work and how to meet your needs.


Lisa Meadows, MSW
Senior Manager, Survey Operations

Choosing a Hospice Accreditor
Know what to look for, what to ask, and what to expect from the accreditation experience.
The ACHC process: Steps to achieving accreditation
Expect total support.
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Get Started
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Presurvey
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Survey
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Post-Survey
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Decision
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All
Connect with our Team
We can help you get started.
Information Form
Register to access the ACHC customer portal.
Application
Complete your accreditation application and submit deposit.
Verification / Scheduling
Your Account Advisor verifies application completion and advances to Scheduling.
Opening Conference
Surveyor introductions and finalized survey agenda.
Onsite Survey
Surveyor observations, interviews, and document review with ongoing Q&A.
Closing Conference
Surveyor general observations and findings.
Final Survey Report
Provided within 10 business days of the last day of survey.
Plan of Correction
Submit Plans of Correction (PoC) within 30 days of the final survey report.
ACHC Reviews PoC
- PoC accepted or revised (as needed)
- Final version submitted to the ACHC Review Committee for consideration.
Accreditation Decision
Letter sent within five business days of Review Committee decision.
Connect with our Team
We can help you get started
Information Form
Register to access the ACHC customer portal.
Application
Complete your accreditation application and submit deposit.
Verification / Scheduling
Your Account Advisor verifies application completion and advances to Scheduling.
Opening Conference
Surveyor introductions and finalized survey agenda.
Onsite Survey
Surveyor observations, interviews, and document review with ongoing Q&A.
Closing Conference
Surveyor general observations and findings.
Final Survey Report
Provided within 10 business days of the last day of survey.
Plan of Correction
Submit Plans of Correction (PoC) within 30 days of the final survey report.
ACHC Reviews PoC
- PoC accepted or revised (as needed)
- Final version submitted to the ACHC Review Committee for consideration.
Accreditation Decision
Letter sent within five business days of Review Committee decision.
Hospice Accreditation Services and Distinctions
Services
ACHC Standards—the requirements you must meet to achieve ACHC Hospice Accreditation—are designed to be relevant to the focus of your business model. ACHC will work in partnership with you to build a customized accreditation solution based on your needs. View available services and distinctions below.
Hospice Care services provide care for terminally ill patients in their place of residence. End-of-life care involves an interdisciplinary approach to meet the physical, psychosocial, spiritual, and emotional needs of the patient and/or family, as well as the palliation of symptoms related to the terminal illness.
Hospice Inpatient Care is provided directly by the hospice personnel at a facility owned/operated by the hospice (e.g., Hospice House). If general inpatient or respite care is provided, there must be a nurse on duty 24 hours a day, 7 days a week. End-of-life care involves an interdisciplinary approach to meet the physical, psychosocial, spiritual, and emotional needs of the patient and/or family, as well as the palliation of symptoms related to the terminal illness.
Distinctions
Distinctions offer additional recognition for hospice agencies that offer specialties that go above and beyond basic accreditation requirements. These options must be earned in conjunction with (or after being awarded) Hospice Accreditation by ACHC.
Learn more about ACHC Distinctions.
This additional recognition acknowledges that older adults may have goals and priorities that differ from those of other age groups. Age-friendly care is intentional with regard to safety and reduction of harm and confusion. It focuses on the use of four evidence-based best practices in geriatric care known as the 4Ms*: What Matters, Medication, Mentation, and Mobility. The Distinction in Age-Friendly Care is patient-centered and designed to enhance patient outcomes.
This distinction must be achieved in combination with ACHC Hospice Accreditation.
*The 4Ms framework is a key element of the Age-Friendly Health Systems initiative developed by The John A. Hartford Foundation and the Institute for Healthcare Improvement, in collaboration with the AmericanHospital Association and the Catholic Health Association of the United States.
This additional recognition focuses on patient- and family-centered care that optimizes quality of life throughout the continuum of illness by addressing physical, intellectual, emotional, social, and spiritual needs and facilitating patient autonomy, access to information, and choice. ACHC Palliative Care Standards are based on the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care.
This additional recognition focuses on the provision of care to clients/patients with acute or chronic conditions, using telehealth technology that allows monitoring in the clinical or home environment. This technology creates disease management empowerment and independence, improved access to care, increased collaboration among healthcare providers, and improved client/patient outcomes. Standards were based on telehealth clinical guidelines of the American Telemedicine Association.
You deserve a better accreditation experience.
You can switch to ACHC accreditation at any time! Customer Care will help you define the best timeline for your customized transition plan. If your goal is to minimize the overlap between your current accreditor and ACHC, we recommend you begin the process six to nine months prior to your current expiration date
When you transition to ACHC, you’ll need a site visit. During your application process, we’ll ask you to give us a readiness date (the date you’ll be prepared for survey).
Ensure your organization’s accreditation remains active and current. Don’t delay!

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Join Us for THE Education Event for Healthcare
ACHCU Academy is coming to Nashville, TN, March 8 – 10, 2027. Bring your team and save with discounts available for multiple registrations.
New for 2027: Pre-Conference Intensives
- ACHC Home Health Accreditation Intensive
- ACHC Hospice Accreditation Intensive
Come Curious. Leave Inspired.
CMS Home Health and Hospice Enrollment Moratorium
Effective May 13, 2026, CMS implemented a six-month nationwide moratorium on new Medicare enrollments and certain majority ownership changes requiring reenrollment for home health and hospice agencies. The moratorium does not apply to currently enrolled providers.
The moratorium does not apply to currently enrolled providers. CMS also announced increased oversight and enforcement activity during this period.
California Hospice Emergency Regulations
California's emergency hospice licensing regulations took effect on June 22, 2026, establishing new statewide licensing requirements related to staffing, geographic service areas, patient acuity, documentation, information governance, and medical records
Related Resources
New Hospice Requirements Take Effect October 1
Beginning October 1, 2026, Medicare-certified hospices must provide the Hospice Election Statement Addendum to every Medicare patient or their representative, not only when requested. The FY 2027 Hospice Final Rule also updates addendum timelines and documentation requirements. See what is changing and how your hospice can prepare.
HOPE Resources for Hospices
HOPE is now the foundation of the Hospice Quality Reporting Program. ACHC offers complimentary resources to help hospices prepare for reporting and implement the tool successfully.
Get more insight into ACHC resources and standards by subscribing to our Did You Know? newsletter. If you have questions, don’t forget to visit our FAQs.
ACHC Resources
To get you to the most frequently needed information, choose a link below.
Regulatory Updates
Publications
Education
Vendor Partners
External Resources
DO NOT DELETE
National Resources
State Organizations
Arizona Association for Home Care (AAHC)*
Arizona Hospice & Palliative Care Organization (AHPCO)*
Association for Home & Hospice Care of North Carolina*
California Association for Health Services at Home (CAHSAH)*
California Hospice and Palliative Care Association*
Delaware Association of Home and Community Care
Florida Hospice & Palliative Care Association*
Georgia Hospice and Palliative Care Organization
Home Care Alliance of Massachusetts*
Home Care Association of New York State*
Home Care & Hospice Association of New Jersey*
Home Care, Hospice & Palliative Care Alliance of New Hampshire
Home Care and Hospice Association of Colorado
Homecare & Hospice Association of Utah
Hospice and Palliative Care Association of Arkansas
Hospice and Palliative Care Association of Iowa
Hospice and Palliative Care Federation of Massachusetts
Hospice and Palliative Care Association of New York State
Hospice & Palliative Network of Maryland
Hospice Council of West Virginia
Illinois Homecare & Hospice Council*
Illinois Hospice and Palliative Care Organization
Indiana Association for Home & Hospice Care, Inc.*
Indiana Hospice and Palliative Care Organization, Inc.
Kentucky Association of Hospice and Palliative Care
Kentucky Home Care Association*
Louisiana – Mississippi Hospice and Palliative Care Organization*
Maryland-National Capital Homecare Association*
Michigan HomeCare & Hospice Association*
Minnesota Home Care Association*
Minnesota Network of Hospice & Palliative Care
Missouri Hospice and Palliative Care Association
Nebraska Hospice and Palliative Care Association
Ohio Council for Home Care & Hospice*
Oklahoma Hospice & Palliative Care Association
Oregon Hospice & Palliative Care Association
Pennsylvania Homecare Association*
Pennsylvania Hospice and Palliative Care Network
Rhode Island Partnership for Home Care*
South Carolina Home Care & Hospice Association*
South Dakota Association of Healthcare Organizations
Texas Association for Home Care & Hospice (TAHCH)*
Texas - New Mexico Hospice & Palliative Care Organization*
Tennessee Association for Home Care*
Virginia Association for Home Care and Hospice*
*Partnering associations that advocate for excellence in the provision of hospice care.



