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Revocation, Transfer to Another Hospice and Change of Attending Practitioner

Protects the patient’s sole right to revoke hospice care, with the Louisiana signed statement giving the reason, no back-dating and no verbal revocations; sets out the transfer statement and once-per-period change of hospice, the change of attending practitioner, and the Medicare and Louisiana Medicaid notices due within five calendar days.

Preview: full text with a package
About this policy
Policy number
LA-HSP-ELC-03
Version
1.0
Main rule
LAC 48:I §8229.C, E
Library
Louisiana hospice · 60 policies
Category
Hospice care
Sections
19

In short

  • Only the patient or representative can revoke hospice care. Never ask for, suggest or arrange a revocation.
  • The patient signs a revocation statement that says why, with an effective date no earlier than the signing date.
  • Verbal revocations and blank forms are never accepted.
  • A patient may change to another hospice once in each election period, with a signed statement to both hospices.
  • Tell the RN case manager the same day a patient wants to revoke, transfer or change practitioner.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (LAC 48:I §8229.C, E)
  • 5. No Pressure to Revoke
  • 6. Revocation
  • 6.1 Notices After Revocation
  • 7. Change of Designated Hospice (Transfer)
  • 7.1 When the Agency Is the Transferring Hospice
  • 7.2 When the Agency Is the Receiving Hospice
  • 8. Change of Attending Practitioner
  • 9. Responsibilities
  • 10. Records and Compliance Monitoring
  • 11. Staff Training
  • 12. References
  • 13. Related Policies and Forms
  • 14. Approval
  • 15. Revision History

An inspector may ask

  • Show me this patient’s revocation statement. Does it say why the patient revoked?
  • Who decided this patient would revoke, and what did staff tell the family?

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