Section He-W 544.04 - Election of Hospice Care(a) If a recipient seeks to elect hospice care, the hospice provider shall obtain an election statement via the hospice care provider's hospice care election form signed and dated by the recipient or his or her agent or legal guardian.(b) The election statement obtained by the hospice provider on the hospice care provider's hospice care election form shall: (1) Specify the hospice provider designated by the recipient to provide care;(2) Specify the effective date of the election, which shall not be earlier than the date the recipient or his or her agent or legal guardian signs the election statement; and(3) Specify that by waiving rights in accordance with He-W 544.02(a) (3) , the recipient or the recipient's agent or legal guardian acknowledges that he or she has been given a full understanding of the palliative rather than curative nature of hospice care, as it relates to the recipient's terminal illness specified on the form.(c) If a recipient elects hospice care in accordance with (a) and (b) above, the designated hospice provider shall notify the department of the effective date of the election in (b) (2) above, within 5 state business days of the election, via the applicable sections of Form 282A, "Medicaid Hospice Care Notification Form," incorporated by reference in He-W 544.17.N.H. Admin. Code § He-W 544.04