{"ref":"CA-HH-ADM-01","title":"Patient Acceptance, Referral Intake, and Service Area","category":"Service delivery","summary":"Sets out how the Agency receives referrals and decides, consistently and without discrimination, whether to accept a patient: only on a reasonable expectation that the patient’s needs can be met (22 CCR §74721(c)(2)) and only if the Agency can provide adequate care (§74695(b)); that patients needing medical orders are under the care of a physician or other licensed practitioner (§74695(a)); the service area limits (§74607(a); the SB 164 moratorium on service area changes); and, if the Agency is Medicare-certified, the acceptance-to-service policy reviewed every year and the public information on services and limits (42 CFR §484.105(i)).","inShort":["Write down every referral on the intake form the same day you receive it.","We only accept patients we can care for safely and well, in their home, within our service area.","A patient who needs medical orders must have a doctor or other licensed practitioner who will order and oversee care.","Never turn a person away because of race, religion, disability, language, or any other protected reason.","If we cannot start care in time, tell the referral source and the patient right away so they can choose another agency."],"primaryCitation":"22 CCR §74695","citations":["22 CCR §74695","22 CCR §74721(c)(2)","22 CCR §74607(a)","22 CCR §74607(b)","22 CCR §74639","22 CCR §74693(f)","22 CCR §74707(e)","22 CCR §74742(c)(5)","Cal. Health & Safety Code §1728.9","Cal. Health & Safety Code §1734(c)(1)","22 CCR §74735(a)(1)"],"federalCitations":["42 CFR §484.105(i)","42 CFR §484.60","42 CFR §484.55(a)","45 CFR §92.8"],"surveyorAsks":["Show me your acceptance criteria and how you decided to accept this patient.","Show me a referral you declined and the reason you recorded."],"forms":[{"ref":"CA-HH-ADM-01-A","title":"Referral Intake and Acceptance Decision Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74695)","5. Receiving a Referral","6. Acceptance Criteria","7. The Acceptance Decision","8. Declining a Referral","9. Waiting List","10. Service Area","11. Annual Review and Public Information","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"ca-hha","state":"California","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}