State Operations Manual (Pub. 100-07), Ch. 2 § 2081
Revoking Election of Hospice Care
2081 - Revoking Election of Hospice Care
(Rev. 73, Issued: 12-02-11 Effective: 12-02-11, Implementation: 12-02-11)
The hospice patient or representative may revoke the patient’s election of hospice care at
any time during the election period according to 42 CFR 418.28. Revocation is a
voluntary action taken by the patient or representative. The election of the hospice benefit
is the beneficiary’s choice rather than the hospice’s choice, and the hospice cannot revoke
the beneficiary’s election. It is important for the hospice to educate the patient and family
before the start of care that hospice entails certain limits in the way care will be provided,
including restrictions on obtaining care outside the care arranged for or provided by the
hospice, and the patient’s liability for care received without the hospice’s involvement.
The hospice should neither request nor pressure the patient/family or representative in any
way to revoke his/her election.