{"ref":"FL-HSP-ADM-01","title":"Requests for Services, Eligibility and Admission","category":"Hospice care","summary":"Sets how the Agency receives, records and answers every request for hospice services, including whether the patient can pay (Rule 59A-38.004(3)(a)11., F.A.C.); the eligibility criteria under Florida’s one-year definition of terminally ill and the six-month Medicare and Medicaid test; the admission decision by the medical director with the attending physician; the admission visit; and the identification of a primary caregiver or an alternative plan of care, with no refusal or discharge for inability to pay.","inShort":["Write every request for hospice care on Form FL-HSP-ADM-01-A, with the action taken and whether the patient can pay.","Never turn anyone away, or delay admission, because they cannot pay.","A Florida physician must diagnose a terminal illness, and the medical director must review and agree, before admission.","At admission give rights, consent, advance directive, election and emergency plan information, and start the plan of care.","Name the primary caregiver on Form FL-HSP-ADM-01-B, or make an alternative plan if there is none."],"primaryCitation":"s. 400.6095(2)-(4), F.S.","citations":["s. 400.6095(2)-(5), F.S.","s. 400.601(10), F.S.","s. 400.609(3), F.S.","Rule 59A-38.004(1)(c)1.a.-b., (3)(a)1., 11., F.A.C.","Rule 59A-38.005(3)(b), (d), F.A.C.","Rule 59A-38.008(2)(b)1.-2., F.A.C.","Rule 59A-38.018(7), F.A.C.","Rule 59G-4.140, F.A.C."],"federalCitations":["42 CFR §418.20","42 CFR §418.22(b)(1)","42 CFR §418.25","42 CFR §418.54(a)-(b)","42 CFR §418.200","42 U.S.C. §1396d(o)(1)(C)"],"surveyorAsks":["Show me your record of requests for services, with the action taken on each and whether the patient could pay.","Who decides that a patient is eligible for admission, and what information do they consider?"],"forms":[{"ref":"FL-HSP-ADM-01-A","title":"Record of Requests for Services"},{"ref":"FL-HSP-ADM-01-B","title":"Primary Caregiver Designation and Alternative Care Plan"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (s. 400.6095(2), F.S.; Rule 59A-38.004(3)(a)11., F.A.C.; 42 CFR §418.25)","5. Receiving and Recording Requests","6. Eligibility","7. The Admission Decision","8. The Admission Visit","9. Primary Caregiver or Alternative Plan","10. Patients in Facilities and Children","11. When the Agency Cannot Admit","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"fl-hospice","state":"Florida","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}