NOE (CMS electronic) · CMS
Electronic notification to Medicare contractor that a beneficiary has elected hospice. Must be filed within 5 calendar days of the election effective date. Late filing results in provider liability for uncovered days.
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Submit electronically to CMS through the FISS (Fiscal Intermediary Shared System)
The hospice provider submits the Notice of Election (NOE) to the Medicare Administrative Contractor (MAC).
Filing Deadline
Must be submitted within 5 calendar days of the hospice election effective date. Late NOE submissions result in reduced payment.
Processed by the MAC within 1-3 business days. Acceptance or rejection notification sent electronically.
CMS records the hospice election in the Common Working File. This triggers the hospice benefit and suspends regular Medicare Part A benefits for the terminal condition. Other providers are notified through Medicare systems.
Hospice Election (CMS model) · CMS / Hospice Agency
Elects the Medicare hospice benefit. Identifies the hospice and attending physician. Acknowledges waiver of curative treatment for the terminal illness. Triggers two 90-day benefit periods followed by unlimited 60-day periods.
Hospice Certification (CMS) · CMS
Physician certification that the patient has a terminal illness with a prognosis of 6 months or less. Required at the start of each benefit period. Face-to-face encounter required before the third benefit period and each subsequent period.
NOTR (CMS) · CMS
Filed when a hospice beneficiary is discharged alive or revokes the election. Must be submitted within 5 calendar days of the effective date.
Revocation Statement · Hospice Agency
Written statement revoking hospice election for a specific benefit period. Patient may re-elect hospice for remaining benefit periods. Verbal revocation is not acceptable; must be in writing.
Transfer Form · Hospice Agency
Change of designated hospice provider (allowed once per election period). Not a revocation. Receiving hospice files a new NOE; benefit period dates are unaffected.
Discharge Order · Hospice Agency
Written physician order required before discharging a patient for any reason other than revocation, transfer, or death. Documents the clinical rationale for discharge.
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