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June 16, 2026

Access Your Hospice Cap Documentation in MCReF

Each year, hospice providers are required to file a self-determined hospice cap with their Medicare Administrative Contractor (MAC). MACs then perform an annual review and issue a:

  • Hospice aggregate cap determination letter
  • Self-determined hospice cap demand letter

Within 30 days of issuing these letters, MACs will upload the following information into the System for Tracking Audit and Reimbursement (STAR):

  • Documentation for the hospice aggregate cap determination
  • Copy of the demand letter issued for the self-determined cap

The packages will be available for hospice providers to access and download through the Medicare Cost Report e-Filing (MCReF) system.

See the CMS instructionExternal PDF for details.

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