Agency Application - Licensed Hospice

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Payment Instructions for Hospice-Only Agencies

This membership is available to any Licensed Hospice that is not affiliated with a Certified Home Health Agency. The dues are based on the selections outlined below. Additionally, if your agency provides services in more than 25 towns, an additional charge will apply for each extra town.

Hospice Services Fee: A flat fee of $1,650 is applied for agencies providing hospice care.

For new members, dues may be prorated depending on your join date:

  • If you join after 10/01, your dues will be reduced by 25%.
  • If you join after 01/01, your dues will be reduced by 50%.
  • If you join after 04/01, your dues will be reduced by 75%.

Town selection not prorated.

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Please select a valid membership option and fee item if exist