Finalized Mandatory Hospice Election Statement Addendum
The hospice election statement addendum is a written addendum to a Medicare hospice election statement that lists and explains what conditions, items, services, or drugs the hospice has determined are not related to the beneficiary’s terminal illness and related conditions — and will therefore not be covered under the Medicare hospice benefit.
CMS made the addendum mandatory for all those electing hospice and not just those who request the addendum. This change ensures that all beneficiaries have greater transparency into non-covered items, services, or drugs to make care decisions that align with their treatment preferences and goals, potentially leading to a decrease in beneficiary out-of-pocket costs. This requirement may hold hospices more accountable for the items, services, and drugs they are required to provide. The addendum also will provide needed information to non-hospice providers for claims submission.
Finalized Mandatory Hospice Election Statement Addendum
The hospice election statement addendum is a written addendum to a Medicare hospice election statement that lists and explains what conditions, items, services, or drugs the hospice has determined are not related to the beneficiary’s terminal illness and related conditions — and will therefore not be covered under the Medicare hospice benefit.
CMS made the addendum mandatory for all those electing hospice and not just those who request the addendum. This change ensures that all beneficiaries have greater transparency into non-covered items, services, or drugs to make care decisions that align with their treatment preferences and goals, potentially leading to a decrease in beneficiary out-of-pocket costs. This requirement may hold hospices more accountable for the items, services, and drugs they are required to provide. The addendum also will provide needed information to non-hospice providers for claims submission.