An individual may change, once in each election period, the designation of the particular hospice from which he or she elects to receive hospice care. The change of the designated hospice is not considered a revocation of the election. Transfer Key Points To change the designation of hospice programs, the individual must file, with the hospice from which he or she has received care and with the newly designated hospice, a signed statement that includes the following information: The name of the hospice from which the individual has received care The name of the hospice from which they plan to receive care The date the change is to be effective If the patient chooses to transfer in the 3rd or subsequent benefit period, the transferring hospice must provide the receiving hospice evidence that the face-to-face encounter was completed. If there is any question about whether the face-to-face encounter was completed, NHPCO recommends that the face-to-face be completed by the new hospice. If there will be an anticipated break in hospice services during the transfer, then it is recommended to discharge and readmit the patient into the next benefit period. When a hospice patient transfers to a new hospice, the receiving hospice must file a new Notice of Election; however, the benefit period dates are unaffected. The Regulations §418.30  Change of the designated hospice Resources Medicare Hospice Benefit Guide to Patient Travel