{"ref":"FL-HSP-DC-01","title":"Discharge, Transfer and Discharge Planning","category":"Hospice care","summary":"Sets when and how the Agency discharges a living patient or transfers care: the Medicare discharge reasons (moving out of the service area or transferring, no longer terminally ill, or for cause after the required steps); the written discharge order from the medical director, physician designee or a physician member of the interdisciplinary group, with the attending physician consulted (42 CFR §418.26(b), effective October 1, 2026); discharge planning; the Notice of Medicare Non-Coverage and the right to a fast appeal; the Notice of Termination/Revocation; the Florida comprehensive discharge summary for the receiving provider (s. 400.6095(7), F.S.); and the rule that no patient is discharged for inability to pay.","inShort":["We discharge a living patient only if they move out of our area, are no longer terminally ill, or for cause after every required step.","Never discharge because someone cannot pay, needs costly care or has complained.","A hospice physician must sign a discharge order first, after talking with the attending physician.","Give the discharge notice early, and for Medicare patients no longer terminally ill, the NOMNC at least 2 days before services end.","Arrange the next care and send the discharge summary to the receiving provider."],"primaryCitation":"s. 400.6095(7), F.S.","citations":["s. 400.6095(7), F.S.","Rule 59A-38.004(3)(a)1., 11., F.A.C.","Rule 59A-38.008(2)(b)10., F.A.C.","s. 400.611(1), (4), F.S.","s. 765.110(2), F.S."],"federalCitations":["42 CFR §418.26","42 CFR §418.104(e)","42 CFR §418.100(d)","42 CFR §405.1200","42 CFR §405.1202"],"surveyorAsks":["Show me a recent live discharge. Where is the physician’s written discharge order, and was the attending physician consulted?","For a patient discharged as no longer terminally ill, when was the Notice of Medicare Non-Coverage given and signed?"],"forms":[{"ref":"FL-HSP-DC-01-A","title":"Notice of Discharge from Hospice"},{"ref":"FL-HSP-DC-01-B","title":"Comprehensive Discharge Summary"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (s. 400.6095(7), F.S.; Rule 59A-38.004(3)(a)11., F.A.C.; 42 CFR §418.26)","5. When the Agency May Discharge","6. Physician Order and Review","7. Discharge Planning","8. Notice to the Patient","9. Discharge for Cause","10. Discharge Summary and Records","11. After Discharge","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}}