Election of the Hospice Benefit, Election Statement Addendum and Notice of Election
Sets out how a patient elects the hospice benefit with the Agency: who may counsel and complete the election, what the election statement must contain, the election statement addendum ("Patient Notification of Hospice Non-Covered Items, Services, and Drugs") that must be given in writing for every election beginning on or after October 1, 2026 and updated within 3 days of plan of care changes that affect it, and filing the Notice of Election within 5 calendar days.
About this policy
- Policy number
- CA-HSP-ELC-01
- Version
- 1.0
- Main rule
- 42 CFR §418.24
- Library
- California hospice · 60 policies
- Category
- Hospice care
- Sections
- 17
In short
- Only a nurse, LVN, medical social worker, chaplain or counselor employed by the Agency may complete the election.
- The election date can never be earlier than the date the patient signs.
- Give the "Patient Notification of Hospice Non-Covered Items, Services, and Drugs" in writing within the first 5 days of the election.
- If a plan of care change affects that notice, update it within 3 days and give the patient the update.
- Send the signed election to billing the same day so the Notice of Election is filed within 5 calendar days.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §418.24; Health & Safety Code §1746.50(c))
- 5. Election Counseling
- 6. The Election Statement
- 7. The Election Statement Addendum
- 8. Notice of Election
- 9. Duration, Re-election and Other Payers
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. Staff Training
- 13. References
- 14. Related Policies and Forms
- 15. Approval
- 16. Revision History
An inspector may ask
- Who completed this patient's election, and were they employed by the hospice?
- Show me the election statement. Does it identify the attending physician and the effective date, and include the BFCC-QIO information?
See Cura Core with your agency's name on it.
Choose your state and type of agency, buy your Policy Pack online and get your sign-in by email. Already a customer? Sign in to your portal.