OCTOBER 1st is the Beginning of a NEW ERA in HOSPICE Payment and Compliance

HOSPICE Urgent TOOL and Resource Alert!

October 1st is the date!  Highlight it- and ensure your entire team is aware! All new patients, being admitted on or after 10/1/26 MUST have an election addendum!  It is not a choice, but a mandate!  This is a Condition of Payment- so any patients with a SOC date on or after 10/1/26 must have this document to ensure payment going forward!  

We recommend completing this addendum with each election, on day ONE- even if you anticipate changes to medications, etc. You can then update the addendum as modifications are made!

Start practicing this new procedure today, and use these next three weeks as a runway to ensure full compliance! To help your process, review the additional tools and education resources attached.

Lastly, hospices must update their election and election addendum verbiage for all admissions on 10/1/26. Our partners at Briggs have graciously allowed us to share their form examples with these updates. We are including those examples with the tools here. Note: CMS has promised updated example forms as well, but those have not yet been published. 

Be watching for our webinar and recording later this week!

Download the Tools & Resources Below!

Annette Lee

Founder Annette Lee built Provider Insights to give home health and hospice providers peace of mind. She’s had decades of experience at CMS and provided many years of consultancy services—including contracting as a Medicare Administrator with MAC.

She speaks Medicare-ese fluently and knows how to make the most complicated rules make sense for patient-centered providers who don’t have the time to dissect every rule. Agencies that work with Provider Insights can rest assured they’re fully compliant with the regulations that are in place today. And they’ll stay compliant when those regulations change tomorrow.

https://www.providerinsights.com/
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CMS Published Updated Election/Addendum Models 

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Decipher and Utilize PEPPER Reports for Home Health and Hospice!