{"ref":"DC-HC-ETH-02","title":"Compliance Program, Conflicts of Interest, and Fraud Prevention","category":"Ethics","summary":"Sets up the Agency's compliance program: who leads it, how staff raise concerns, accurate records and billing, conflicts of interest, exclusion screening, audits, and how problems are investigated, corrected and reported.","inShort":["Record only what you actually did, when you did it. Never record a visit or a task that did not happen.","Never steer a client to a business you or your family have an interest in. Give clients a choice.","If you suspect fraud or any breach of the rules, tell your supervisor, the Director or the governing body. You may report anonymously.","You will not be punished for reporting a concern in good faith.","Tell the Director if you are related to a client or have a business that serves our clients."],"primaryCitation":"22-B DCMR §9900.3","citations":["22-B DCMR §9900.3","22-B DCMR §9906.1","22-B DCMR §9906.2(a)","22-B DCMR §9902.3(a)","22-B DCMR §9902.3(h)","22-B DCMR §9902.3(i)","22-B DCMR §9911.1(c)","22-B DCMR §9914.1","22-B DCMR §9914.2(k)","22-B DCMR §9916.2(k)","D.C. Code §28-3904(a)","D.C. Code §2-1402.61"],"federalCitations":[],"surveyorAsks":["Who is responsible for compliance at your Agency, and how does staff report a concern?","How do you make sure you bill only for services actually provided?"],"forms":[{"ref":"DC-HC-ETH-02-A","title":"Conflict of Interest Disclosure"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §9900.3)","5. Elements of the Compliance Program","6. Accurate Records and Billing","7. Annual Compliance Audit","8. Conflicts of Interest","9. Exclusion Screening","10. Reporting and Investigating Concerns","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":"dc-hca","state":"Washington, DC","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}