{"ref":"MI-HH-DC-02","title":"Transfer and Discharge Notice, Discharge for Cause, and Notices of Non-Coverage","category":"Service delivery","summary":"Sets out the only grounds on which the Agency may transfer or discharge a patient, the steps the Agency must take before discharging a patient for cause, the written notice the Agency gives every patient before a transfer or discharge, and the Medicare notices: the Notice of Medicare Non-Coverage at least 2 days before covered services end (with the patient's right to a fast appeal to the Quality Improvement Organization and the Agency's same-day duties when an appeal is filed), the Home Health Change of Care Notice when the Agency reduces or stops services, and the Advance Beneficiary Notice when Medicare may not pay. Michigan sets no separate discharge notice period for home health agencies; the Agency's notice periods are Agency standards.","inShort":["We may discharge a patient only for a reason federal rules allow. A complaint is never a reason.","Before a discharge for cause, tell the patient and doctors, try to fix the problem, give other providers' names and record it all.","Give the Agency's written notice at least 5 days before the last visit when the discharge is planned.","Medicare patients get the Notice of Medicare Non-Coverage at least 2 days before covered services end.","If a patient asks for a fast appeal, tell the clinical manager at once. Never discourage an appeal."],"primaryCitation":"42 CFR §484.50(d)","citations":["Michigan Medicaid Provider Manual, Home Health, Section 4","Michigan Medicaid Provider Manual, General Information for Providers, Section 9.3"],"federalCitations":["42 CFR §484.50(d)","42 CFR §484.50(c)(8)","42 CFR §405.1200","42 CFR §405.1202","42 CFR §411.408","42 CFR §484.60(c)(3)(ii)"],"surveyorAsks":["On what ground was this patient discharged? Show me the practitioner's agreement.","You discharged this patient for cause. Show me how you advised the patient and practitioners beforehand and what you did to resolve the problem."],"forms":[{"ref":"MI-HH-DC-02-A","title":"Notice of Transfer or Discharge"},{"ref":"MI-HH-DC-02-B","title":"Discharge for Cause Documentation Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.50(d))","5. Grounds for Transfer or Discharge","6. Discharge for Cause","7. Notice to the Patient of Transfer or Discharge","8. Medicare Notices","9. When a Medicare Patient Asks for a Fast Appeal","10. Michigan Medicaid and Other Plans","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":"mi-hha","state":"Michigan","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}