{"ref":"CA-HSP-GOV-03","title":"Geographic Service Area, Two-Hour Response Radius and Multiple Locations","category":"Governance","summary":"Explains how the Agency calculates and keeps its CDPH-approved geographic service area: the area a licensed nurse can reach in person within two hours of the parent office, limited to counties with an unmet need for hospice care. Covers the drive-time samples, the unmet need formula, changes that need CDPH approval first, multiple locations, and the intake and marketing controls that keep the Agency inside its area.","inShort":["A licensed nurse must be able to reach any patient in person within two hours, at any hour of any day.","The Agency serves only the counties CDPH has approved: Sacramento and Placer Counties.","Before accepting a referral, check that the patient's home address is inside the approved area. Do not accept patients who live outside it.","A nursing home or other facility where the patient lives counts as the patient's home.","Never advertise or offer services in a county the Agency is not approved to serve."],"primaryCitation":"22 CCR §74820","citations":["22 CCR §74820","22 CCR §74800(a)(23), (40), (43), (51), (56)","22 CCR §74812(c)(32)","22 CCR §74816(d)","22 CCR §74828(a)(1), (a)(2)(B), (f)(1), (f)(6)","22 CCR §74860(f)","Cal. Health & Safety Code §1746(i), (k)","Cal. Health & Safety Code §1748(a)","Cal. Health & Safety Code §1749(f)","Cal. Health & Safety Code §1751.70"],"federalCitations":["42 CFR §418.100(f)","42 CFR §418.116(a)","42 CFR §418.26(a)(1)"],"surveyorAsks":["Show me the drive-distance samples, with timestamps, and the calculation behind your geographic service area.","Which counties are you approved to serve, and where is CDPH's written approval?"],"forms":[{"ref":"CA-HSP-GOV-03-A","title":"Two-Hour Drive Distance Sample Worksheet"},{"ref":"CA-HSP-GOV-03-B","title":"County Unmet Need Calculation Worksheet"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22 CCR §74820)","5. Calculating the Two-Hour Radius","6. The Unmet Need Test for Each County","7. Changing the Service Area","8. Multiple Locations","9. Staying Inside the Area Every Day","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. 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}}