{"ref":"LA-HSP-PR-02","title":"Informed Consent, Description of Services and Charges","category":"Client rights","summary":"Sets out who may give informed consent to hospice care under R.S. 40:1159.4 and the Louisiana Medicaid rules, what the admitting nurse explains before consent (services, scope, risks, charges and cost-sharing), how written consent and the release of information are obtained and kept, and how refusal and withdrawal of consent are handled.","inShort":["No hospice care starts until the patient, or the person Louisiana law allows, signs the informed consent.","Explain the services, the benefits and risks, and any charges before the person signs.","If the patient cannot decide, ask the director of nurses who may sign, and copy any power of attorney or court paper.","Never accept a verbal consent. A mark needs two adult witnesses who do not work for us.","A patient may refuse any treatment. Record it and tell the RN case manager the same day."],"primaryCitation":"LAC 48:I §8231.B","citations":["LAC 48:I §8231.B","LAC 48:I §8231.A.5, A.8, A.10","LAC 48:I §8219.B.4","LAC 48:I §8219.C.2.a, d","LAC 48:I §8201 (Informed Consent; Representative)","LAC 48:I §8233.G","LAC 48:I §8233.H.6","R.S. 40:1159.4","R.S. 40:1159.5","Louisiana Medicaid Services Manual, Chapter 24 (Hospice), §24.2"],"federalCitations":["42 CFR §418.52(c)(3), (7)-(8)","42 CFR §418.24(b)(5)","42 CFR §418.400"],"surveyorAsks":["Show me the signed informed consent for this patient. Does it specify the type of care and services?","This consent was signed by the patient’s niece. What gave her authority to sign?"],"forms":[{"ref":"LA-HSP-PR-02-A","title":"Hospice Informed Consent and Service Agreement"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8231.B)","5. Who May Give Consent","6. Information Given Before Consent","7. Obtaining Written Consent","8. Consent Later in Care","9. Refusal and Withdrawal of Consent","10. Emergencies","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}}