Hospice The Adult Failure To Thrive Syndrome

Medicare hospice coverage for adult failure to thrive requires both significant nutritional impairment and functional disability with reversible causes excluded. Clinical criteria supporting a ≤6-month prognosis include BMI <22 kg/m2 (with failed or declined enteral/parenteral support) and Karnofsky or PPS ≤40%, with BMI and function documented within 180 days of certification/recertification; substitutions (e.g., mid-arm muscle area) are allowable at recertification with justification.

"Adult failure to thrive (FTT) syndrome with both nutritional impairment and disability is an indication for hospice when reversible causes of severe nutritional impairment/disability have been excl..."

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