I know I asked about this before, but my question here is very specific. We have actually opened the dialogue about this benefit, here at my hospice, which is a huge step forward! I am told that it is beleived that continuous home care is not required to be provided. I have looked through CMS standards and some OIG reports and can not find anything stating specifically that "all 4 levels of care must be offered". I wonder if someone can provide a link to this type of wording. I realize the benefit only should be used when appropriate.