| (a) An individual or representative may change the
particular hospice from which the individual receives hospice care
once in each election period. If the recipient is dually eligible
for Medicaid and Medicare, the individual must change the Medicaid
and Medicare hospice providers at the same time.
(b) The change of the designated hospice is not a revocation
of the election for the period in which it is made.
(c) To change the designated hospice, the individual
or representative must file, with both the hospice from which care
has been received and with the newly designated hospice, a statement
that includes the following information:
(1) the name of the hospice from which the individual
has received care and the name of the hospice from which the individual
plans to receive care; and
(2) the date the change is to be effective.
(d) Both the hospice from which the individual has
received care and the hospice from which the individual plans to receive
care must submit an Individual Election/Cancellation/Discharge Form
on the TMHP Long Term Care Online Portal.
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