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February 5, 2026

Reminder: 2025 Hospice Self-Determined Aggregate Cap

NOTE: If CGS doesn't pay your agency's Medicare claims, we aren't responsible for your hospice cap work. Please submit your self-determined (SD) aggregate cap and direct any questions to the MAC that pays your claims.

Hospices are required to file a self-determined aggregate cap each year between December 31 and February 28. The 2025 SD cap is due by February 28, 2026. If CGS doesn't receive your agency's SD cap within 7 days of the final due date, we'll issue a past due letter and suspend payments.

As a reminder, the Provider Self-Determined Aggregate Cap LimitationMicrosoft Excel File form and instructions are available to assist with this process.

Your submission must include:

Hospices are required to obtain their own PS&R Summary Report from CMS Identity Management (IDM)External Website. CGS offers these instructions and will only provide the report if you encounter an issue that doesn't allow you to retrieve a copy. Please contact Tom Bisbee (615.660.5560) for assistance.

See Hospice Cap Process for complete details.

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