diff --git a/app/models/form/lettings/questions/rsnvac.rb b/app/models/form/lettings/questions/rsnvac.rb
index 4968ebb2d..2899a9463 100644
--- a/app/models/form/lettings/questions/rsnvac.rb
+++ b/app/models/form/lettings/questions/rsnvac.rb
@@ -36,6 +36,9 @@ class Form::Lettings::Questions::Rsnvac < ::Form::Question
     "18" => {
       "value" => "Tenant moved to care home",
     },
+    "20" => {
+      "value" => "Tenant moved to long-stay hospital or similar institution",
+    },
     "6" => {
       "value" => "Tenant abandoned property",
     },