Bhsf form hospice noe 2025

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The document is a notice for patients or their legal representatives regarding the election, revocation, discharge, or transfer of services in the Louisiana Medicaid Hospice Program. It outlines the process for choosing hospice care, including eligibility requirements, patient rights, and responsibilities. The form requires signatures from both the patient/legal representative and the hospice provider to confirm understanding and acceptance of hospice services.

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2012	4.9 Satisfied (61 Votes)

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