NHPCO NewsLine Fall 2020 - 12

continued

hospice provide a walker with a
seat? Why didn't my mom get
oxygen?" There has been an uptick
in those questions and complaints,
which started the discussion at
CMS about how to address the
issues with transparency of
coverage, resulting in the Election
Statement and the addition of the
Election Statement Addendum.
NL: When did the provider
community first hear about this?
JLP: It first came out in their
proposed rule for FY 2020. That
would have been in April of 2019.
So, it has been around a while.
And in the final rule for last year,
that would be FY2020, published
in August of 2019, CMS finalized
that there would be changes to
the wording in the Election
Statement. And there would be
the addition of a hospice Election
Statement Addendum.
NL: What is the purpose of the
Addendum?

Now, since the FY
2021 final rule was
issued, we have a
revised model
Election
Statement and a
revised model
Addendum...

12

Newsline / Fall 2020

JLP: The design of the Election
Statement Addendum is to
provide information to the
patient and their representative
about items, services, or drugs
that the hospice is not going to
cover because the hospice has
deemed that it is unrelated to the
terminal illness.
NL: CMS has issued examples of
an Election Statement and of an
Addendum to serve as a model.
Could you talk about that?
JLP: Certainly. The model Election
Statement and the model
Addendum were published with

the proposed rule back in April of
this year. Lots of providers were
waiting to see those models in
order to design their own Election
Statement or Addendum forms.
NL: Providers can design their
own?
JLP: Yes, the information that
was in last year's rule (FY 2020)
has all the data elements that
need to be on the form; and in
April, CMS actually produced
model forms and they asked for
feedback. NHPCO gave very
detailed feedback on both of the
forms in our comments back to
CMS on the FY 2021 proposed
rule. Now, since the FY 2021 final
rule was issued, we have a revised
model Election Statement and a
revised model Addendum for
providers to use or to use as a
jumping off point for their own
forms.
NL: NHPCO has created a resource
to augment the CMS examples,
correct?
JLP: We do, we have created a
couple of checklists on what the
data elements are that must be
included - and those come right
out of Subpart B of the hospice
regulations. We've got a checklist
for the Addendum and a checklist
for the Election Statement. And
we are working on other
resources, like a script for staff to
use when they are discussing the
addendum and how people
should ask for it. And a process
flow on how all of this will work in
a hospice that is trying to
implement.


https://www.ecfr.gov/cgi-bin/text-idx?SID=48569e14fb6bcb108420795df558598c&mc=true&node=pt42.3.418&rgn=div5#sp42.3.418.b

NHPCO NewsLine Fall 2020

Table of Contents for the Digital Edition of NHPCO NewsLine Fall 2020

AXXESS Hospice (display ad)
Table of Contents
Virtual Interdisciplinary Conference (display ad)
Edo's Message
FY2021 Hospice Wage Index (feature article)
Virtual Conference Thank You (display ad 1/2 page)
Q&A on Election Statement
Quality Care in the time of COVID-19
Quality Connections
NHPCO Releases Facts & Figures Report
Seeing the World
NHPCO Career Center (display ad 1/2 page)
Weatherbee Resources (display ad 1/2 page)
NHF Gala Sponsor Thanks
Virtual Gala Recap
Highlight Value of Pediatric Care
State Pediatric Survey - Data Collection
We Honor Veterans Spotlight
New Courses Ondemand
New Podcast
Lighthouse of Hope (display ad 1/2 page)
Diversity Advisory Council Paper
AXXESS Hospice (display ad #2)
back cover
NHPCO NewsLine Fall 2020 - intro
NHPCO NewsLine Fall 2020 - 1
NHPCO NewsLine Fall 2020 - AXXESS Hospice (display ad)
NHPCO NewsLine Fall 2020 - Table of Contents
NHPCO NewsLine Fall 2020 - Virtual Interdisciplinary Conference (display ad)
NHPCO NewsLine Fall 2020 - Edo's Message
NHPCO NewsLine Fall 2020 - FY2021 Hospice Wage Index (feature article)
NHPCO NewsLine Fall 2020 - 7
NHPCO NewsLine Fall 2020 - 8
NHPCO NewsLine Fall 2020 - Virtual Conference Thank You (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - Q&A on Election Statement
NHPCO NewsLine Fall 2020 - 11
NHPCO NewsLine Fall 2020 - 12
NHPCO NewsLine Fall 2020 - 13
NHPCO NewsLine Fall 2020 - 14
NHPCO NewsLine Fall 2020 - 15
NHPCO NewsLine Fall 2020 - Quality Care in the time of COVID-19
NHPCO NewsLine Fall 2020 - 17
NHPCO NewsLine Fall 2020 - 18
NHPCO NewsLine Fall 2020 - 19
NHPCO NewsLine Fall 2020 - Quality Connections
NHPCO NewsLine Fall 2020 - 21
NHPCO NewsLine Fall 2020 - NHPCO Releases Facts & Figures Report
NHPCO NewsLine Fall 2020 - 23
NHPCO NewsLine Fall 2020 - 24
NHPCO NewsLine Fall 2020 - 25
NHPCO NewsLine Fall 2020 - Seeing the World
NHPCO NewsLine Fall 2020 - 27
NHPCO NewsLine Fall 2020 - 28
NHPCO NewsLine Fall 2020 - 29
NHPCO NewsLine Fall 2020 - Weatherbee Resources (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - NHF Gala Sponsor Thanks
NHPCO NewsLine Fall 2020 - Virtual Gala Recap
NHPCO NewsLine Fall 2020 - Highlight Value of Pediatric Care
NHPCO NewsLine Fall 2020 - State Pediatric Survey - Data Collection
NHPCO NewsLine Fall 2020 - We Honor Veterans Spotlight
NHPCO NewsLine Fall 2020 - New Courses Ondemand
NHPCO NewsLine Fall 2020 - Lighthouse of Hope (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - Diversity Advisory Council Paper
NHPCO NewsLine Fall 2020 - AXXESS Hospice (display ad #2)
NHPCO NewsLine Fall 2020 - back cover
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