{"ref":"LA-HC-ADM-01","title":"Admission Policies, Intake, Service Agreement, and Refusal of Admission","category":"Service delivery","summary":"Sets the Agency's written admission policies and criteria (intake, admission criteria, criteria for minors, legal status, ages served, services and discharge criteria), how a referral is handled, the decision that the Agency has the capacity to safely provide the services, the written service agreement signed before admission, the documents every client receives at admission, the service area limits, the Medicaid LT-PCS and waiver rules on accepting and refusing beneficiaries, and the written statement of the reason when admission is refused.","inShort":["The Agency serves only clients who live in the LDH region on its license and whose needs it can safely meet.","Before the first visit, the client signs a written service agreement that lists the services, roles, expectations and charges.","At admission the client also gets the rights notice, the grievance procedure, the 24-hour phone number, the back-up plan and the privacy notice.","Never pressure or offer gifts to anyone to choose the Agency. Every person has the right to choose a provider.","If someone asks why they were not accepted, tell your supervisor; the Agency gives the reason in writing."],"primaryCitation":"LAC 48:I.5033","citations":["LAC 48:I.5033","LAC 48:I.5033.A","LAC 48:I.5033.B","LAC 48:I.5033.C","LAC 48:I.5033.D","LAC 48:I.5039.B.1","LAC 48:I.5039.B.2","LAC 48:I.5039.D","LAC 48:I.5005.C","LAC 48:I.5005.D","LAC 48:I.5035.A","LAC 48:I.5049.A.8","LAC 48:I.5049.D","LAC 48:I.5051.A","LAC 48:I.5051.C.1","LAC 48:I.5053.D","LAC 48:I.5055.E.3","LAC 48:I.5063.B","LAC 48:I.5079.B","LAC 48:I.5081.B","LAC 48:I.5085.A","Medicaid Services Manual, Chapter 30, §30.6","Medicaid Services Manual, Chapter 30, §30.7"],"federalCitations":["45 CFR §164.520","42 CFR §489.102"],"surveyorAsks":["Show me your written admission policies and criteria. How are they made available to clients and legal representatives?","Show me the signed service agreement for this client. Was it signed by all parties before the first visit?"],"forms":[{"ref":"LA-HC-ADM-01-A","title":"Service Agreement"},{"ref":"LA-HC-ADM-01-B","title":"Admission Packet Checklist"},{"ref":"LA-HC-ADM-01-C","title":"Written Statement of Reason for Refusal of Admission"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I.5033)","5. Admission Criteria (LAC 48:I.5033.A)","6. Intake","7. Capacity to Safely Provide Services","8. The Service Agreement (LAC 48:I.5039.D)","9. The Admission Visit and Packet","10. Service Area and Clients Outside the Region","11. Medicaid LT-PCS and Waiver Clients","12. Refusal of Admission (LAC 48:I.5033.D)","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":"la-hca","state":"Louisiana","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}