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Revocation, Change of Designated Hospice and Change of Attending Physician

Sets out how a patient revokes the hospice election, changes the designated hospice once in a benefit period, or changes the attending physician; the written statements each requires; the notice of termination or revocation filed within 5 calendar days; the Michigan Medicaid steps in CHAMPS, including transfers to another hospice with no lapse in services; offering controlled substance disposal help to a patient who revokes; and the rule that staff never encourage a revocation.

Preview: full text with a package
About this policy
Policy number
MI-HSP-ELC-03
Version
1.0
Main rule
42 CFR §418.28
Library
Michigan hospice · 59 policies
Category
Hospice care
Sections
17

In short

  • A patient may stop hospice, change hospice once per benefit period, or change physicians. It is always the patient's choice.
  • Never suggest stopping hospice so the patient can go to the hospital or get costly care. Offer other options first.
  • Get the right signed form: ELC-03-A to revoke, ELC-03-B to change hospice, ELC-03-C to change physician. The date can never be before the signature.
  • When a home patient revokes, offer to help dispose of controlled drugs and write down the answer.
  • Tell billing the same day. The notice must be filed within 5 calendar days.

What's inside

17 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 (42 CFR §418.28)
  • 5. No Pressure to Revoke
  • 6. Revocation
  • 7. Change of Designated Hospice
  • 8. Change of Attending Physician
  • 9. Re-election After Revocation
  • 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

  • Show me the revocation statement for this patient. What is the effective date, and when was it signed?
  • Did anyone at the Agency suggest that this patient revoke before going to the hospital?

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