CMS Clarification on Late or Missing Election Statement Addendum

At NHPCO’s request, the Medicare Administrative Contractors (MACs) requested clarification from CMS when a hospice does not provide a requested addendum or does not meet the timeframe requirements. NHPCO has prepared a Regulatory Alert (09/23/21) with the detailed answer from CMS. A summary of the CMS answer: If the addendum is not present or does not meet the requirements, only the claim that is flagged for review would receive a claims denial and it would not invalidate the entire election.