{"ref":"DC-HH-CS-01","title":"Scope of Services and Services Offered","category":"Service delivery","summary":"Defines the services the Agency offers, makes sure it directly provides skilled nursing and at least one other therapeutic service as the District licensing law requires, keeps a written policy for every service, and tells patients, referral sources, and the public accurately what is and is not available.","inShort":["We provide only the services our governing body has approved: companion or sitter services and personal care services.","We always provide skilled nursing with our own nurses, plus at least one other therapy or care service with our own staff.","Every service has its own written policy. Follow it, and do only the services in the patient’s plan of care.","Never promise a patient or referral source a service, visit time, or start date we cannot deliver. Ask the office first.","If a patient needs something we do not provide, tell the nurse case manager so we can help find another provider."],"primaryCitation":"D.C. Code §44-501(a)(7)","citations":["D.C. Code §44-501(a)(7)","D.C. Code §44-501(a)(14)","D.C. Code §44-406","22-B DCMR §3900.4","22-B DCMR §3903.2","22-B DCMR §3905.1","22-B DCMR §3905.2","22-B DCMR §3905.3","22-B DCMR §3905.4","22-B DCMR §3906.1","22-B DCMR §3908.1","22-B DCMR §3908.2","22-B DCMR §3908.3","22-B DCMR §3908.5","22-B DCMR §3909.2","22-B DCMR §3912.2","22-B DCMR §3915.10","22-B DCMR §3916.2","22-B DCMR §3916.3","22-B DCMR §3924.1","22-B DCMR §3999.1","29 DCMR §4233.1","29 DCMR §4233.3","29 DCMR §4233.11","29 DCMR §5006.9","29 DCMR §5006.10","29 DCMR §5007.2"],"federalCitations":["42 CFR §484.60","42 CFR §484.105(e)","42 CFR §484.105(f)","42 CFR §484.105(i)","42 CFR §484.80(h)(5)"],"surveyorAsks":["Which services do you provide? Which do you provide directly with your own staff, and which under contract?","Show me the written policy for each service you offer."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (D.C. Code §44-501(a)(7); 22-B DCMR §3905.2(g))","5. The Agency’s Services","6. Services Provided Directly and Under Contract","7. A Written Policy for Each Service","8. Adding, Changing, or Stopping a Service","9. Telling Patients and the Public What the Agency Provides","10. Where Services Are Provided","11. Services the Agency Does Not Provide","12. EPD Waiver Homemaker Services (If Enrolled)","13. Annual Services Review","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":"dc-hha","state":"Washington, DC","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}}