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Medicare only requires one NOA (TOB 032A) for any series of HH periods of care beginning with admission to home care and ending with discharge. HHAs shall not submit an NOA for subsequent 30-day periods of care with the exception of the one-time NOA submission for beneficiaries receiving HH services in 2021 and continuing services in 2022.
A hospice revocation occurs when a beneficiary chooses to end their hospice care. The beneficiary must sign a revocation form indicating the date they wish the revocation to become effective.
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