Policy Manual sample

MDT Home Health Care Agency, Inc. The Director of Nursing, Clinical Manager may designate different members within the Agency who may authorize a director’s exception. They are called the director’s designees. The first formal discussion of a request for service takes place by phone or at the planning team program meeting. If the request falls within the service policy, the request is granted. If the request for service is not consistent with the policy, the service coordinator starts the exception review process by exploring the basis for the request. A time line for the director’s exception review is set by agreement between the consumer/family and the service coordinator program but the time line may not exceed fifteen (15) days. Within that time, another planning team meeting will be convened. In the meantime the coordinator presents the information to the DON, Clinical Manager to determine whether a director’s exception may be warranted. At the scheduled planning team meeting the decision will be made. The director’s designee will call or attend the planning team meeting if necessary. If the exception is granted, the service coordinator amends the person-centered individual program plan, notifies the consumer/family, and gives a copy of the amended plan to the consumer/family. If the exception is not granted, the service coordinator promptly informs the consumer/family that it has not been granted, informs the consumer family of their appeal rights, and sends a notice of action and a fair hearing form. VI. NOTICE OF ACTION If a service coordination program decision is made to deny, reduce, or cancel the service without the agreement of the consumer or the consumer's representative, a Notice of Action will be sent. Home Health Agency Nursing Care & Procedures K-220