{"ref":"FL-HSP-ELC-03","title":"Revocation, Transfer to Another Hospice and Change of Attending Physician","category":"Hospice care","summary":"Explains how a patient or representative revokes the hospice election (42 CFR §418.28), changes the designated hospice once in each election period (§418.30), or changes the attending physician (§418.24(i)); the Notice of Termination/Revocation within 5 calendar days; the Florida duty to arrange continuing care and complete a comprehensive discharge summary for the receiving provider (s. 400.6095(7), F.S.); and the rule that staff never ask or pressure a patient to revoke.","inShort":["Only the patient or representative can revoke. Never suggest, ask or pressure anyone to revoke.","If a patient talks about stopping hospice, tell the coordinating nurse the same day.","A revocation needs a signed Form FL-HSP-ELC-03-A with an effective date no earlier than the signature.","A patient may change hospices once each benefit period (Form FL-HSP-ELC-03-B). It is not a revocation.","For any change, arrange continuing care and send the discharge summary to the next provider."],"primaryCitation":"42 CFR §418.28","citations":["s. 400.6095(7), F.S.","Rule 59A-38.008(2)(a), F.A.C.","s. 400.611(1)-(2), F.S."],"federalCitations":["42 CFR §418.28","42 CFR §418.30","42 CFR §418.24(f), (h), (i)","42 CFR §418.104(e)","42 CFR §418.52(c)(4)"],"surveyorAsks":["Show me a revocation statement. Does it have an effective date no earlier than the date it was signed?","How do you make sure no one suggests or pressures a patient to revoke?"],"forms":[{"ref":"FL-HSP-ELC-03-A","title":"Revocation of Hospice Election"},{"ref":"FL-HSP-ELC-03-B","title":"Change of Designated Hospice"},{"ref":"FL-HSP-ELC-03-C","title":"Change of Attending Physician"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §§418.28, 418.30; s. 400.6095(7), F.S.)","5. Revocation","6. Change of Designated Hospice","7. Change of Attending Physician","8. Re-election After Revocation","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. Revision History"],"version":"1.0","sample":false,"pack":"fl-hospice","state":"Florida","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}