{"ref":"CA-HSP-ADM-01","title":"Referral, Eligibility, Admission and Preliminary Services","category":"Hospice care","summary":"Sets out how the Agency handles a referral from first call to completed admission: checking that the patient lives inside the approved counties and two-hour area, that the Agency can meet the patient's needs and staff the case, and that a physician has certified terminal illness; what happens at the admission visit; what the admission record must contain; and how preliminary services and palliative care may be offered under California law.","inShort":["Write down every referral the same day, including the address and county.","Never accept a patient whose home is outside our approved counties or our two-hour area.","A patient is admitted only with a physician's order and a signed certification of terminal illness.","At the admission visit, give the rights notice before any care, then consent, election and advance directive papers.","Tell the family how to reach us at any hour: (916) 555-0199."],"primaryCitation":"22 CCR §74860","citations":["22 CCR §74860(a), (b), (c), (e)(1), (f)","22 CCR §74892(a)","22 CCR §74848(b)","22 CCR §74820(a)","Cal. Health & Safety Code §1746(p)","Cal. Health & Safety Code §1746.50","Cal. Health & Safety Code §1749(g)","Cal. Health & Safety Code §1747.3"],"federalCitations":["42 CFR §418.20","42 CFR §418.25","42 CFR §418.24","42 CFR §418.52(a)","42 CFR §418.205","45 CFR §92.10"],"surveyorAsks":["Walk me through what happens from the time you receive a referral to the time the patient is admitted.","How do you make sure you do not admit a patient whose primary residence is outside your approved counties?"],"forms":[{"ref":"CA-HSP-ADM-01-A","title":"Referral Intake and Admission Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74860)","5. Receiving a Referral","6. Intake Screening","7. Physician's Order and Certification","8. The Admission Visit","9. The Admission Record","10. When the Agency Cannot Accept a Referral","11. Preliminary Services and Palliative Care","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-hospice","state":"California","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}