Manual Updates Adding Language to the Timing and Content of Certification and Revocation and Discharge Guidance
The purpose of this Change Request (CR) is to add language to section 20.1-Timing and Content to Certification to align with changes finalized in the FY 2026 Hospice final rule regarding amendments to the attestation requirement. This CR also adds language to sections 20.2.2 - Hospice Revocation and 20.2.3 - Hospice Discharge in response to the Office of Inspector General (OIG) recommendation to provide additional guidance to hospices regarding the effects on beneficiaries when they revoke their hospice election and when they are discharged from hospice care.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 05, 2025
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