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NC · guidance

N.C. Medicaid Clinical Coverage Policy No. 3D § 5.12.2

Revocations

activein force · 2024-03-15 – presentcompiled-edition

The hospice provider shall comply with 42 CFR §418.28 Revoking the election of

hospice care.

A beneficiary or his or her representative may revoke the hospice election at any

time by completing and signing a revocation statement. The statement indicates

that the beneficiary revokes the hospice election and the effective date of the

revocation. The effective date cannot be earlier than the date the beneficiary signs

the revocation statement.

By revoking hospice coverage, a beneficiary:

a. forfeits any remaining days of coverage in the current benefit period after the

revocation date, and

b. is eligible to resume coverage of the waived benefits effective on the date of

revocation.

Provenance

Source
medicaid.ncdhhs.gov
Retrieved
2026-10-01
Edition
ccp-3d-2024-03-15
Content hash
32ca950770a04af8bedb79eca025c4b47097111821727347a45badf3d4fc8766
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