{"ref":"DC-HH-DC-02","title":"Written Notice of Discharge, Referral, Suspension, or Reduction of Services","category":"Service delivery","summary":"Sets the notice the Agency gives before it discharges, refers, suspends, or reduces a patient’s services: at least 7 calendar days’ written notice for every patient, with the five District exceptions that allow oral notice; at least 30 calendar days for DC Medicaid personal care aide and EPD Waiver beneficiaries, with the immediate-threat and eligibility exceptions; the federal advance notices if the Agency is Medicare-certified; the steps before a discharge for cause; and the Agency’s duty to keep the patient safe until other care is in place.","inShort":["Patients get written notice at least 7 calendar days before a discharge or referral, except in the five situations DC rules list.","DC Medicaid personal care and EPD Waiver beneficiaries usually get at least 30 calendar days’ written notice and can appeal.","Before a discharge for cause, we warn the patient, try to fix the problem, and give the names of other providers.","If you feel unsafe in a home, leave and call your supervisor at once.","We keep the patient safe until other care is in place. Never just stop going."],"primaryCitation":"22-B DCMR §3909.2","citations":["22-B DCMR §3909.2","22-B DCMR §3909.1","22-B DCMR §3912.2","29 DCMR §5007.1","29 DCMR §5007.2","29 DCMR §5007.4","29 DCMR §5007.5","29 DCMR §5007.6","29 DCMR §5007.7","29 DCMR §5007.8","29 DCMR §5007.9","29 DCMR §4202.2","29 DCMR §4202.3","29 DCMR §4205.4","29 DCMR §4205.5","29 DCMR §4205.6","29 DCMR §4205.7","29 DCMR §4205.8","29 DCMR §4205.9","29 DCMR §4205.11","29 DCMR §4207.3","D.C. Code §4-205.55"],"federalCitations":["42 CFR §484.50(d)","42 CFR §484.50(d)(5)","42 CFR §431.200","42 CFR §484.50(c)(8)","42 CFR §405.1200","42 CFR §405.1202"],"surveyorAsks":["Show me the written notice you gave this patient before discharge. How many days before the discharge was it given?","This patient was discharged with oral notice only. Which exception applied, and where is it documented?"],"forms":[{"ref":"DC-HH-DC-02-A","title":"Notice of Discharge, Referral, Suspension, or Reduction"},{"ref":"DC-HH-DC-02-B","title":"Discharge for Cause and Staff Safety Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §3909.2)","5. Which Notice Applies","6. Allowed Reasons","7. Content of the Written Notice","7.1 Added content for DC Medicaid and EPD Waiver beneficiaries","7.2 Added notices if the Agency is Medicare-certified","8. Delivering the Notice","9. Oral Notice Under the District Exceptions","10. Discharge for Cause and Staff Safety","11. Keeping the Patient Safe","12. Appeals and Complaints","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. 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}}