{"ref":"GA-HSP-LOC-01","title":"Levels of Care: Routine Home Care, Continuous Home Care, Respite and General Inpatient Care","category":"Hospice care","summary":"Defines the four levels of hospice care (routine home care, continuous home care, inpatient respite care and general inpatient care), the Georgia criteria for admission to acute inpatient care and respite care, the Medicare rules for periods of crisis, the 8-hour minimum for continuous home care, the 5-consecutive-day respite limit, the 20 percent inpatient cap, where inpatient care may be given, and how the hospice care team orders, documents and reviews each level.","inShort":["There are four levels of care: routine home care, continuous home care, inpatient respite and general inpatient care.","General inpatient care needs a physician order and a documented reason why symptoms cannot be managed at home.","Continuous home care is only for a crisis, must be mostly nursing, and needs at least 8 hours in the day.","Respite is occasional. Medicare pays no more than five days in a row.","Choose the level for the patient’s needs, never for payment. Arrange transport and send the plan of care."],"primaryCitation":"42 CFR §418.302","citations":["Ga. Comp. R. & Regs. 111-8-37-.14(3)","Ga. Comp. R. & Regs. 111-8-37-.03(k), (o), (bb)","Ga. Comp. R. & Regs. 111-8-37-.16(1), (5)-(6)","Ga. Comp. R. & Regs. 111-8-37-.10(1)(o)","Ga. Comp. R. & Regs. 111-8-37-.09(2)(b)"],"federalCitations":["42 CFR §418.302","42 CFR §418.204","42 CFR §418.108","42 CFR §418.202","42 CFR §418.100(c)"],"surveyorAsks":["Show me the physician order and the documented need for this patient’s general inpatient stay. Why could the symptoms not be managed at home?","Show me how continuous home care was predominantly nursing, given during a period of crisis, for at least 8 hours in the day."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.14(3); 42 CFR §418.302)","5. The Four Levels of Care","6. General Inpatient Care","7. Continuous Home Care","8. Respite Care","9. Limits the Agency Monitors","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","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}}