Policy Manual sample

MDT Home Health Care Agency, Inc. (4) Participate in, be informed about, and consent or refuse care in advance of and during treatment, where appropriate, with respect to— (i) Completion of all assessments; (ii) The care to be furnished, based on the comprehensive assessment; (iii) Establishing and revising the plan of care; (iv) The disciplines that will furnish the care; (v) The frequency of visits; (vi) Expected outcomes of care, including patient - identified goals, and anticipated risks and benefits; (vii) Any factors that could impact treatment effectiveness; and (viii) Any changes in the care to be furnished. (5) Receive all services outlined in the plan of care. (6) Have a confidential clinical record. Access to or release of patient information and clinical records is permitted in accordance with 45 CFR parts 160 and 164. (7) Be advised of— (i) The extent to which payment for HHA services may be expected from Medicare, Medicaid, or any other federally - funded or federal aid program known to the HHA, (ii) The charges for services that may not be covered by Medicare, Medicaid, or any other federally - funded or federal aid program known to the HHA, (iii) The charges the individual may have to pay before care is initiated; and (iv) Any changes in the information provided in accordance with paragraph (c)(7) of this section when they occur. Our Agency will advise the patient and representative (if any), of these changes as soon as possible, in advance of the next home health visit. Our agency will comply with the patient notice requirements at 42 CFR 411.408(d)(2) and 42 CFR 411.408(f). (8) Receive proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non - covered care; or in advance of the HHA reducing or terminating on - going care. Our Agency will also comply with the requirements of 42 CFR 405.1200 through 405.1204. (9) Be advised of the state toll free home health telephone hot line, its contact information, its hours of operation, and that its purpose is to receive complaints or questions about local HHAs. (10) Be advised of the names, addresses, and telephone numbers of the following Federally - funded and state - funded entities that serve the area where the patient resides: (i) Agency on Aging, (ii) Center for Independent Living, (iii) Protection and Advocacy Agency, (iv) Aging and Disability Resource Center; and (v) Quality Improvement Organization. (11) Be free from any discrimination or reprisal for exercising his or her rights or for voicing grievances to the HHA or an outside entity. (12) Be informed of the right to access auxiliary aids and language services as described in paragraph (f) of this section, and how to access these services. (d) Standard: Transfer and discharge. The patient and representative (if any), have a right to be informed of the HHA’s policies for transfer and discharge. The HHA may only transfer or discharge the patient from the HHA if: (1) The transfer or discharge is necessary for the patient’s welfare because the HHA and the physician who is responsible for the home health plan of care agree that the HHA can no longer meet the patient’s needs, based on the patient’s acuity. The HHA must arrange a safe and appropriate transfer to other care entities when the needs of the patient exceed the HHA’s capabilities; (2) The patient or payer will no longer pay for the services provided by the HHA; (3) The transfer or discharge is appropriate because the physician who is responsible for the home Home Health Agency Overall Plan and Budget E-8