{"ref":"GA-HH-DC-02","title":"Transfer and Discharge Notice, Including Discharge for Cause","category":"Service delivery","summary":"Sets out the only grounds on which the Agency transfers or discharges a patient, the written notice the Agency gives and when, the Medicare notice before covered services end, the steps that must be taken before any discharge for cause, and what happens after transfer or discharge. Georgia’s home health rule sets no discharge notice period; the Agency applies the federal grounds to every patient and sets its own advance notice period.","inShort":["We only discharge a patient for a reason our policy allows, and the supervising nurse must approve it.","Never tell a patient they are being discharged before the supervising nurse has approved it.","For a planned discharge, the patient gets written notice at least 5 days before the last visit. Medicare patients also get the Medicare notice at least 2 days before services end.","If a patient or someone in the home is abusive or disruptive, tell the supervising nurse the same day. If you are in danger, leave and call 911."],"primaryCitation":"42 CFR §484.50(d)","citations":["Ga. Comp. R. & Regs. 111-8-31-.09","Ga. Comp. R. & Regs. 111-8-31-.09(d)"],"federalCitations":["42 CFR §484.50(d)","42 CFR §484.50(c)(8)","42 CFR §484.50(a)(1)(i)","42 CFR §405.1200","42 CFR §405.1202"],"surveyorAsks":["Show me your transfer and discharge policy. How do patients learn about it?","Why was this patient discharged, and which ground applies? Show me the notice you gave and when."],"forms":[{"ref":"GA-HH-DC-02-A","title":"Notice of Transfer or Discharge"},{"ref":"GA-HH-DC-02-B","title":"Discharge for Cause Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.50(d))","5. The Only Grounds for Transfer or Discharge","6. Who Decides","7. Written Notice to the Patient","8. When Advance Notice Is Not Possible","9. Medicare Notice Before Covered Services End","10. Discharge for Cause","11. After Transfer or 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":"ga-hha","state":"Georgia","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}}