{"ref":"LA-HSP-LOC-01","title":"Levels of Care: Routine, Continuous Home Care, Respite and General Inpatient","category":"Hospice care","summary":"Sets out the four levels of hospice care and when each is used: continuous home care only in a period of crisis, at least 8 hours a day and more than half nursing, after a registered nurse assessment; respite for not more than five consecutive days; short-term general inpatient care for symptoms that cannot be managed elsewhere; with 7-day plan of care reviews and the Medicare and Medicaid 20 percent inpatient limit.","inShort":["There are four levels of care: routine home care, continuous home care, respite and general inpatient care.","Continuous home care is only for a crisis: at least 8 hours in the day, with nursing for more than half.","A registered nurse assesses the patient before an LPN, aide or homemaker is assigned to continuous care.","Respite gives the family a break and is covered for no more than five days in a row.","Record start and end times and the reason for the level of care every day."],"primaryCitation":"LAC 48:I §8201 (Continuous Home Care; Respite Care; Acute/General Inpatient Care)","citations":["LAC 48:I §8201 (Continuous Home Care; Period of Crisis; Respite Care; Acute/General Inpatient Care; Hospice Inpatient Services; Residential Care)","LAC 48:I §8221.B","LAC 48:I §8221.C.6","LAC 48:I §8217.H","LAC 48:I §8247.G, J","Louisiana Medicaid Services Manual, Chapter 24 (Hospice), §§24.3, 24.5, 24.9"],"federalCitations":["42 CFR §418.302","42 CFR §418.204","42 CFR §418.108"],"surveyorAsks":["Who decided this patient needed continuous home care, and where is the RN assessment?","Show me the hours of care and who provided them on each continuous care day."],"forms":[{"ref":"LA-HSP-LOC-01-A","title":"Continuous Home Care Assessment and Hours Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8201 (Continuous Home Care; Respite Care; Acute/General Inpatient Care))","5. The Four Levels of Care","6. Choosing and Ordering the Level of Care","7. Continuous Home Care","8. Inpatient Respite Care","9. General Inpatient Care","10. Limits the Agency Monitors","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. 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}}