{"ref":"MI-HH-GOV-01","title":"Governing Body, Organization, and Lines of Authority","category":"Governance","summary":"Sets out how the governing body of the Agency holds full legal authority and responsibility for its management and operation, adopts governing documents, appoints the Administrator, oversees fiscal affairs and the quality program, and keeps a written description of the organization, services and lines of authority down to the patient care level. Michigan does not license home health agencies, so the structure follows 42 CFR §484.105 and §484.65(e), which bind the Agency as a condition of its Medicare certification, and the Michigan Medicaid Provider Manual.","inShort":["The governing body is legally in charge of the Agency and approves every policy.","Michigan does not license home health agencies. We work under our Medicare certification and must follow the federal home health rules.","Our organization chart shows who you report to, right down to the patient’s home.","No other organization runs or supervises our services for us. We stay in control of every service, even ones a contractor provides.","If you see possible fraud or waste, tell the Administrator. The governing body must make sure it is dealt with."],"primaryCitation":"42 CFR §484.105(a)","citations":["Michigan Medicaid Provider Manual, Home Health, Section 1","Michigan Medicaid Provider Manual, General Information for Providers, Section 2","Michigan Medicaid Provider Manual, General Information for Providers, Section 14.4"],"federalCitations":["42 CFR §484.100","42 CFR §484.105","42 CFR §484.105(a)","42 CFR §484.105(d)","42 CFR §484.105(e)","42 CFR §484.65(e)","42 CFR §484.2"],"surveyorAsks":["Who is your governing body, and where are its bylaws or other governing documents? When were they last reviewed?","Show me your organization chart. Who does the home health aide report to, and who supervises the nurse?"],"forms":[{"ref":"MI-HH-GOV-01-A","title":"Governing Body Annual Review Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.105(a))","5. Governing Body","5.1 Membership and Appointment","5.2 Meetings and Minutes","5.3 Conflicts of Interest","6. Bylaws and Governing Documents","7. Organization Chart and Lines of Authority","8. Administrative and Supervisory Control","9. Quality, Patient Safety, Fraud, and Waste","10. Documents Kept for Surveyors and Program Reviewers","11. Annual Review by the Governing Body","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":"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}}