Manual Updates Related to the Hospice Election Statement and the Implementation of the Election Statement Addendum

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

MLN Matters Number: MM12015 with same title as this blog was posted November 6, 2020.

This MLN Matters Article is for hospice and non-hospice providers submitting claims to Medicare Administrative Contractors (MACs), including Home Health & Hospice (HH&H) MACs, for hospice and non-hospice services provided to Medicare beneficiaries under a hospice election.  The Centers for Medicare & Medicaid Services (CMS) is making changes to the Medicare Benefit Policy Manual to include the modifications to the election statement and the requirements for the hospice election statement addendum, effective for hospice elections beginning on or after October 1, 2020.  The Implementation Date is December 9, 2020.

This is a 5-page MLN Matters that addresses these requirements:

  • Modifications to the Hospice Election Statement Content Requirements
  • Hospice Election Statement Addendum Content Requirements
  • Timeframe for Furnishing the Hospice Election Statement Addendum
  • Hospice Election Statement as a Condition for Payment

The official instruction, CR 12015, issued to your MAC regarding this change is available at  See the CMS Hospice Center at  If you have questions, your MACs may have more information. Find their website at