{"ref":"LA-HSP-DC-01","title":"Discharge, Non-Compliance and Transfer","category":"Hospice care","summary":"Limits live discharge to the reasons in LAC 48:I §8229.B, 42 CFR §418.26 and the Medicaid manual, sets out the steps before a discharge for safety or cause, counseling (not discharge) for non-compliance, the written physician discharge order required since August 3, 2026, notice to the patient and the CMS notice of non-coverage, the discharge summary, and the Medicare and Medicaid filings within five calendar days.","inShort":["We discharge a living patient only for a reason the rules allow, and we document why.","A hospice physician signs a written discharge order first, after talking with the attending physician.","Before a discharge for safety, try every way to solve the problem and write down each effort.","Give the patient a written notice and help arrange the next care.","Send the discharge summary to the attending physician, and file the payor notices within five calendar days."],"primaryCitation":"LAC 48:I §8229","citations":["LAC 48:I §8229.A, B, D, E.5","LAC 48:I §8229.C.1","LAC 48:I §8221.C.9-10","LAC 48:I §8201 (Discharge)","LAC 48:I §8231.A.3, A.9","LAC 48:I §8233.J","Louisiana Medicaid Services Manual, Chapter 24 (Hospice), §24.7"],"federalCitations":["42 CFR §418.26","42 CFR §418.104(e)","42 CFR §418.100(d)","42 CFR §405.1200","42 CFR §405.1202"],"surveyorAsks":["Why was this patient discharged, and where is that documented?","Show me the physician’s discharge order and the attending physician consultation."],"forms":[{"ref":"LA-HSP-DC-01-A","title":"Notice of Hospice Discharge"},{"ref":"LA-HSP-DC-01-B","title":"Discharge or Transfer Summary"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8229)","5. Permitted Reasons for Discharge","6. No Longer Terminally Ill","7. Discharge for Safety or Cause","8. Non-Compliance","9. Physician Discharge Order","10. Notice to the Patient","11. Discharge Summary, Records and Filings","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":"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}}