{"ref":"LA-HSP-ADM-01","title":"Referral, Admission Criteria and Admission Procedure","category":"Hospice care","summary":"Sets out the Agency’s written admission criteria under LAC 48:I §8219.B, how referrals are received only from physicians or their authorized representatives, the attending physician’s order, the registered nurse assessment visit within 48 hours of referral (and of election for Medicare), the admission documents of §8219.C.2, and the Medicaid, PACE, waiver and pediatric rules that apply at admission.","inShort":["We accept orders to assess or admit only from a licensed physician or an authorized representative, such as a hospital discharge planner.","A registered nurse, never an LPN, makes the assessment visit within 48 hours of the referral.","Admit only patients who are terminally ill, live in our parishes, and choose hospice freely.","Check payor rules, PACE and Medicaid waiver services before admission.","Every admission document listed in the policy goes in the record on the day of admission."],"primaryCitation":"LAC 48:I §8219.B, C","citations":["LAC 48:I §8219.B","LAC 48:I §8219.C","LAC 48:I §8235.D.1.a, d, g, h","LAC 48:I §8235.D.2.n","LAC 48:I §8221.A.1","LAC 48:I §8221.C.1","LAC 48:I §8201 (Terminally Ill; Geographic Area)","LAC 48:I §8217.H.3.d","LAC 48:I §8217.I.1.b.iii","LAC 48:I §8217.I.2.a","LAC 48:I §8231.A.3","R.S. 40:2183.1","Louisiana Medicaid Services Manual, Chapter 24 (Hospice), §§24.1-24.3"],"federalCitations":["42 CFR §418.25","42 CFR §418.20","42 CFR §418.54(a)","42 CFR §418.24(h)","42 U.S.C. §1396d(o)(1)(C)"],"surveyorAsks":["Show me your written admission criteria.","When was this referral received, and when did the registered nurse make the assessment visit?"],"forms":[{"ref":"LA-HSP-ADM-01-A","title":"Referral and Admission Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8219.B, C)","5. Admission Criteria","6. Receiving a Referral","7. The Attending Physician’s Order and Physician Review","8. The Admission Assessment Visit","9. Documents at Admission","10. Medicaid Beneficiaries, Waiver Participants and Children","11. Where the Patient Lives","12. When the Agency Does Not Admit","13. Re-admission","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"la-hospice","state":"Louisiana","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}}