{"ref":"FL-HH-ADM-01","title":"Referral Intake, Acceptance to Service, and Patients in Assisted Living Facilities","category":"Service delivery","summary":"Sets how the Agency receives and records referrals and decides whether to accept a patient: only where there is a reasonable expectation that services can be provided safely in the patient's place of residence, including being able to communicate with the patient, where the county is on the license, and where the Agency has the staff and skills to provide every assigned visit. It sets the director of nursing's admission criteria, what happens when a referral is declined, how the Agency works with assisted living facilities and adult family-care homes (coordination, no duplication of care the facility must provide, fair market value, and the 72-hour report of an unlicensed facility), and, if the Agency is Medicare-certified, the acceptance-to-service policy and public information on services and limitations reviewed at least annually.","inShort":["Record every referral, including the ones we decline, and pass any referral you receive to intake the same day.","We accept a patient only if we can provide the care safely at home, communicate with the patient, and make every assigned visit.","We only serve counties listed on our license.","If we cannot accept a referral, tell the referral source and the patient the same day and explain why.","For patients in assisted living, coordinate with the facility and do not do care the facility must provide. Tell the Administrator at once if a home might be an unlicensed facility."],"primaryCitation":"Rule 59A-8.020(1), F.A.C.","citations":["Rule 59A-8.020(1), F.A.C.","s. 400.462(2), F.S.","Rule 59A-8.0095(2)(c), F.A.C.","Rule 59A-8.0095(2)(e), F.A.C.","Rule 59A-8.007(3), F.A.C.","Rule 59A-8.008(5), F.A.C.","s. 400.474(2)(c), F.S.","s. 400.474(6)(b), F.S.","s. 400.474(6)(c), F.S.","s. 400.474(6)(e), F.S.","Rule 59A-8.022(5)(a), F.A.C.","Rule 59A-8.027(8), F.A.C.","s. 400.487(5), F.S."],"federalCitations":["42 CFR §484.105(i)","42 CFR §484.60","42 CFR §484.105(c)","42 CFR §484.50(c)(11)","42 CFR §424.22(d)","45 CFR Part 92"],"surveyorAsks":["Show me your criteria for admission to service. Who set them, and when were they last reviewed?","Walk me through a referral you declined. How did you decide, and who did you tell?"],"forms":[{"ref":"FL-HH-ADM-01-A","title":"Referral Intake and Acceptance Decision Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Rule 59A-8.020(1), F.A.C.)","5. Receiving and Recording Referrals","6. Criteria for Acceptance","7. The Acceptance Decision","8. When the Agency Cannot Accept a Referral","9. Residents of Assisted Living Facilities and Adult Family-Care Homes","9.1 Coordinating with the facility","9.2 No duplication of facility services","9.3 Fair market value","9.4 Unlicensed facilities","9.5 Emergency plan for facility residents","10. Referral Sources and Prohibited Arrangements","11. Public Information About Services and Limitations","12. Annual Review of This Policy","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":"fl-hha","state":"Florida","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}}