{"ref":"MI-HSP-CON-01","title":"Contracted Services and Professional Management Responsibility","category":"Business","summary":"Sets out which services the Agency must provide with its own employees, when it may contract, the terms every Michigan hospice contract must contain (including signature by the administrator, care according to the hospice plan of care and a ban on fee sharing with referral sources), and how the Agency keeps responsibility for and monitors contracted services.","inShort":["Nursing, social work and counseling are given by Agency employees. Contract staff only fill in for short, unusual situations.","Contract workers follow the Agency's plan of care and the Agency's policies.","The Agency stays responsible for all care, even when a contractor gives it.","Contract workers may not ask patients for extra payment. No one shares fees with a referral source."],"primaryCitation":"Mich. Admin. Code R 325.45349","citations":["Mich. Admin. Code R 325.45349","Mich. Admin. Code R 325.45215(2)-(3)","Mich. Admin. Code R 325.45211","MCL 333.20173a(3)","Michigan Medicaid Provider Manual, Hospice, Sections 3.4.B and 3.4.C"],"federalCitations":["42 CFR §418.64","42 CFR §418.66","42 CFR §418.100(e)","42 CFR §418.114(d)(1)","42 CFR §418.112","42 CFR §418.108"],"surveyorAsks":["Show me your contracts. Which services do you contract for, and why?","Do you ever contract for nursing or social work? Under what circumstances?"],"forms":[{"ref":"MI-HSP-CON-01-A","title":"Contract Review Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Mich. Admin. Code R 325.45349; 42 CFR §418.100(e))","5. What May Be Contracted","6. Required Contract Terms","7. Approval and Monitoring","8. Responsibilities","9. Records and Compliance Monitoring","10. References","11. Related Policies and Forms","12. Approval","13. Revision History"],"version":"1.0","sample":false,"pack":"mi-hospice","state":"Michigan","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}}