(1) Hospice coverage is available for two 90-day election periods followed by an unlimited number of 60-day election periods.
(2) A client or a client's authorized health care representative must sign an election statement to initiate or reinitiate an election period for hospice care.
(3) The election statement must be filed in the client's hospice medical record within two calendar days following the day the hospice care begins and requires all of the following:
(a) Name and address of the hospice agency that will provide the care;
(b) Documentation that the client or the client's authorized health care representative is fully informed and understands hospice care and waiver of other medicaid and/or medicare services;
(c) Effective date of the election; and
(d) Signature of the client or the client's authorized health care representative.
(4) When a client's hospice coverage ends within an election period (e.g., the client revokes hospice care), the remainder of that election period is forfeited.
(5) The client or the client's authorized health care representative may reinstate the hospice benefit at any time by providing an election statement and meeting the certification process requirements.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 25-16-015, s 182-551-1310, filed 7/25/25, effective 9/1/25. Statutory Authority: RCW 41.05.021, Section 2302 of the Patient Protection and Affordable Care Act of 2010 (P.L. 111-148), and Section 1814 (a)(7) of the Social Security Act. WSR 12-09-079, § 182-551-1310, filed 4/17/12, effective 5/18/12. WSR 11-14-075, recodified as § 182-551-1310, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 05-18-033, § 388-551-1310, filed 8/30/05, effective 10/1/05. Statutory Authority: RCW 74.09.520, 74.08.090, 42 C.F.R. 418.22 and 418.24. WSR 99-09-007, § 388-551-1310, filed 4/9/99, effective 5/10/99.]