18 225 in simplest form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting the appropriate form type: Election, Update, or Correction. This is crucial for processing your request accurately.
3. Fill in the 'From' and 'To' dates using the MMDDYYYY format to indicate the effective period of your election or update.
4. Indicate the setting where hospice services will be provided by selecting from options such as Home, NF (Nursing Facility), Hospital, Hospice Inpatient Unit, ICF/IID, or SNF.
5. Enter personal details including your name, Medicaid number, Social Security number, and date of birth to ensure proper identification.
6. List all terminal diagnoses along with their corresponding ICD codes in the designated fields to provide comprehensive medical information.
7. Complete provider information including comments, hospice name, contract number, and contact details for seamless communication.
8. Review your entries carefully before signing and dating the form at the end to confirm your understanding of Medicaid hospice services.

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