VA · guidance
Va. DMAS Hospice Provider Manual ch. IV, Re-Election Of Hospice Benefits
Re-Election Of Hospice Benefits
If an individual revokes the hospice benefit and subsequently re-elects the hospice
benefit, the individual, or his or her representative, must sign and date a new Request for
Hospice Services form (DMAS 420). The hospice medical director must sign and date
the certification of the appropriate benefit period. This form must be maintained in the
individual’s medical record. Hospice must obtain written certification within two (2)
calendar days of the beginning of the re-election benefit period and the provider must
enter the admission into in the AE&D portal for FFS hospice individuals. For those
individuals enrolled in a managed care organization, please refer to and follow that
particular MCO’s hospice procedures for admission.
Provenance
- Source
- vamedicaid.dmas.virginia.gov
- Retrieved
- 2026-10-02
- Edition
- dmas-hospice-iv-2024-08-28
- Content hash
2bbb0fbc862bfb756109469859e1533ca3dc04277d32a8a1dad1411270a277c0
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