{"ref":"CA-HSP-CON-01","title":"Contracted Services and Professional Management Responsibility","category":"Business","summary":"Sets out how the Agency uses contractors without giving up responsibility: which services must be provided directly, the terms every written agreement must contain, special California contract terms (Medical Director contracts, off-site record storage, record destruction), checks before signing, oversight during the contract, and the contract register.","inShort":["The Agency stays responsible for every service a contractor provides to our patients.","Every contract is in writing and requires qualified staff, care under the plan of care, and background checks.","Contracted staff follow the patient's plan of care and write their notes on the day of the visit.","Contractors never counsel patients on choosing hospice or sign them up.","Report any problem with a contractor's care to the Director of Patient Care Services."],"primaryCitation":"Cal. Health & Safety Code §1749(d)","citations":["Cal. Health & Safety Code §1749(d)","Cal. Health & Safety Code §1746(k)","22 CCR §74800(a)(46), (53), (54)","22 CCR §74808(e)(10), (g)(1)","22 CCR §74812(c)(21)(B), (c)(34)","22 CCR §74848(d)","22 CCR §74856(h)","22 CCR §74888(h)","22 CCR §74892(p)","22 CCR §74896(p)","22 CCR §74880(d)(3)(C)(iii)"],"federalCitations":["42 CFR §418.100(e)","42 CFR §418.64","42 CFR §418.66","42 CFR §418.114(d)(1)","42 CFR §418.108(c)","42 CFR §418.112","45 CFR §164.504(e)"],"surveyorAsks":["Which services do you provide under contract, and with whom?","Show me a contract and where it says services are authorized by you, furnished by qualified personnel and delivered under the plan of care."],"forms":[{"ref":"CA-HSP-CON-01-A","title":"Contract Register and Review Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Health & Safety Code §§1749(d), 1746(k); 42 CFR §418.100(e))","5. Services the Agency Provides Directly","6. What Every Agreement Must Say","7. Special California Contract Terms","8. Before Signing","9. Oversight During the Contract","10. Contract Register","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. 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}}