Withdrawal of Consent, Revocation, Change of Designated Hospice and Change of Attending Physician
Sets out how the Agency honors a patient's withdrawal of consent and revocation of the hospice election, a change of designated hospice once in each benefit period and a change of attending physician, with the signed statements, notices, Ohio Medicaid portal entries and hearing rights each requires, and the rule that staff never pressure a patient to revoke.
About this policy
- Policy number
- OH-HSP-ELC-03
- Version
- 1.0
- Main rule
- 42 CFR §418.28
- Library
- Ohio hospice · 60 policies
- Category
- Hospice care
- Sections
- 17
In short
- A patient may stop hospice care at any time. Never suggest or push a patient to revoke.
- If a patient says they want to stop, tell the RN coordinator the same day.
- A revocation must be signed and dated. Do not accept a spoken revocation.
- A patient may change hospice once in each benefit period, with a signed statement filed with both hospices.
- To change attending physician, the patient signs a statement naming the new physician and the effective date.
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 (OAC 3701-19-20(D); 42 CFR §418.28)
- 5. No Pressure to Revoke
- 6. Revocation
- 7. Change of Designated Hospice
- 8. Change of Attending Physician
- 9. Ohio Medicaid Hearing Rights
- 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 signed revocation statement for this patient. What effective date does it give, and when was it signed?
- Did anyone at the Agency suggest that this patient revoke? How do you prevent that?
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