{"ref":"DC-HH-PR-03","title":"Admission Agreement, Consent, Disclosure of Charges, and Interagency Information Sharing","category":"Client rights","summary":"Requires written admissions policies covering every item in 22-B DCMR §3908.1, a written summary given on admission, a signed services agreement and consent before care, oral and written disclosure of services, coverage, and charges, consent for specialized services and for interagency sharing of information, the uncompensated care notice before services, and, if the Agency is Medicare-certified, advance notice of non-covered care and of reductions or terminations.","inShort":["No routine care starts until the patient has the admission summary, has been told what services cost and who pays, and has signed the agreement and consent.","Explain charges and coverage in plain words. If the patient does not understand, offer a call with billing before signing.","Some services, such as intravenous therapy, need their own signed consent before they start.","Share patient information only with the people and agencies the patient agreed to, and check any limits on the record first.","Tell the patient about any change in charges or services before the next visit."],"primaryCitation":"22-B DCMR §3908.1","citations":["22-B DCMR §3908.1","22-B DCMR §3908.2","22-B DCMR §3912.2","22-B DCMR §3911.2","22-B DCMR §3920.3","22-B DCMR §3905.4","22-B DCMR §4405.7","22-B DCMR §4405.8","22-B DCMR §4403.2","29 DCMR §5014.3","29 DCMR §5006.4","D.C. Code §21-2210"],"federalCitations":["42 CFR §484.50(a)","42 CFR §484.50(c)(4)","42 CFR §484.50(c)(7)","42 CFR §484.50(c)(8)","42 CFR §405.1200","42 CFR §405.1202","45 CFR §164.506"],"surveyorAsks":["Show me your written admissions policies and the summary you give each patient. Does it cover every item in 22-B DCMR §3908.1?","Show me this patient’s signed agreement and consent. Was it signed before the first service?"],"forms":[{"ref":"DC-HH-PR-03-A","title":"Home Care Services Agreement and Consent"},{"ref":"DC-HH-PR-03-B","title":"Summary of Admission Policies"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §3908.1)","5. Admission Documents and Their Order","6. Services, Coverage, and Charges","7. Consent for Services","8. Consent for Interagency Sharing of Information","9. Notice of Uncompensated Care","10. Notices When Coverage, Services, or Charges Change","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-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}}