Revocation, Change of Designated Hospice and Change of Attending Physician
Sets out how a patient or legal representative may end hospice care at any time by revoking the election, change the designated hospice once in each benefit period, or change the attending physician; the signed statements each requires under Medicare and MO HealthNet; effective dates; the notice of termination or revocation filed within five calendar days; the information sent to the attending physician and to a new hospice; and the Agency's rule that staff never pressure a patient to revoke.
About this policy
- Policy number
- MO-HSP-ELC-03
- Version
- 1.0
- Main rule
- 42 CFR §418.28
- Library
- Missouri hospice · 59 policies
- Category
- Hospice care
- Sections
- 18
In short
- A patient may stop hospice care at any time. Never encourage or pressure anyone to revoke.
- Revocation needs a signed statement. The effective date can be the day of signing or later, never earlier.
- Tell the attending physician every time hospice care ends, and write it in the record.
- A patient may change to another hospice once in each benefit period. Send the new hospice the medication profile, advance directive, current problems and plan of care.
- A change of attending physician needs a signed statement naming the new doctor and saying the change is the patient's choice.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (19 CSR 30-35.010(1)(D)1; 42 CFR §418.28)
- 5. No Pressure to Revoke
- 6. Revocation
- 6.1 After a revocation
- 7. Change of Designated Hospice
- 8. Change of Attending Physician
- 9. Re-election
- 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 this patient's revocation statement. Is the effective date on or after the date it was signed?
- Was the attending physician notified of the discontinuance, and where is that documented?
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