W. Va. BMS Provider Manual § 509.4

In accordance with 42 CFR §418.21, a member may elect to receive Hospice care during one or more of

the following election periods:

1. An initial 90-day period;

2. A subsequent 90-day period;

3. An unlimited number of subsequent 60-day periods that will continue as long as the member lives

unless he or she revokes or is discharged from Hospice care.

The periods of care are available in the order listed and may be elected separately at different times.

Having once elected Hospice, it is not necessary for a member to elect Hospice again after the initial

election unless he or she revokes Hospice care or is discharged from Hospice care.

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Members who have elected Hospice care may revoke Hospice coverage. In that event, the

remainder of that benefit period is forfeited. If the member then re-enrolls, coverage begins

immediately under the next benefit period.

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Members who revoke Hospice services four times are not eligible to enroll again.

Example: A member enrolls in Hospice services on January 1 and revokes their Hospice coverage on

February 15, after 46 days. The remainder of the 90 days of that first period is forfeited. Should

circumstances lead the member to enroll again, even the next day on February 16, the member is now in

the second benefit period. If the member revokes again before that 90-day period is concluded, the

member also forfeits the remainder of that second period. A third enrollment will be for the 60-day period.

If that period is revoked, the remainder is forfeited and only the unlimited 60-day periods remain. If the

member elects again during a subsequent 60-day period, the member may continue to receive Hospice

services for as long as they live unless the member revokes the fourth time. The member who revokes

Hospice services four times is not eligible to enroll again.