{"ref":"CA-HH-CS-01","title":"Scope of Services and Services Approved on the License","category":"Service delivery","summary":"Sets out which home health services the Agency provides: only the types of service the Department has approved and shown on the license (22 CCR §§74627, 74693(d)), each under the direction of a qualified licensed person with written policies and reference material, provided directly or under written arrangement, with equipment checked at every visit and enough qualified staff to deliver what is ordered. Adding or deleting a service is reported to the Department in writing within 10 days (22 CCR §74667(b)(8)). A Medicare-certified agency also makes skilled nursing and at least one other therapeutic service available and provides at least one of them directly (42 CFR §484.105(f)).","inShort":["We only provide the services shown on our license.","Each service is directed by a qualified licensed person and has written procedures you can look up.","Check the equipment we supply at every visit. If it does not work, take it out of use and call your supervisor the same day.","Do not provide any service that has no order or is outside your license or certificate.","If we cannot staff a service a patient needs, tell the office at once so the patient and practitioner can be told."],"primaryCitation":"22 CCR §74693","citations":["22 CCR §74693","Cal. Health & Safety Code §1727","Cal. Health & Safety Code §1727.1","22 CCR §74652","22 CCR §74627","22 CCR §74671(e)","22 CCR §74667(b)(8)","22 CCR §74697(f)","22 CCR §74710(c)","22 CCR §74711(c)","22 CCR §74721(c)(2)","22 CCR §74707(e)"],"federalCitations":["42 CFR §484.105(f)","42 CFR §484.100(b)","42 CFR §484.75(a)"],"surveyorAsks":["Which services are approved on your license, and which of them do you provide directly and which under arrangement?","Who directs each service, and what reference material do staff use?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74693)","5. Services the Agency May Provide","6. Requirements Before a Service Is Offered","7. Services Provided Directly and Under Arrangement","8. Standards of Practice and Reference Material","9. Checking Equipment at Every Visit","10. Personnel Available to Render Services","11. Personal Care Services Without a Physician’s Plan","12. Services Outside the Residence","13. What the License Does Not Cover","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. 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}}