{"ref":"MI-HSP-FAC-02","title":"Short-Term Inpatient Care Arrangements","category":"Hospice care","summary":"Sets out how the Agency makes short-term inpatient care available for pain control, symptom management and respite: the kinds of facilities that may be used, the written agreement each one must have, what the Agency sends and receives, training of the facility's staff, the five-day respite limit, the Medicare 20 percent inpatient day limit, Michigan Medicaid rules for hospital care, and the separate license needed if the Agency provides inpatient care itself.","inShort":["Inpatient care is for pain or symptoms that cannot be managed at home, or a short break for the family (respite).","We use only facilities with a signed agreement. The office keeps the list.","Send the plan of care, orders, medicines and our on-call number with the patient, and call the facility nurse to hand over.","Stay in touch every day during a symptom-control stay and plan the return home early.","Respite is paid for no more than five days in a row. Medicaid patients should not revoke hospice to go to the hospital for their hospice diagnosis."],"primaryCitation":"42 CFR §418.108","citations":["Mich. Admin. Code R 325.45345(1)(h)","Mich. Admin. Code R 325.45349","MCL 333.21411(6)","Michigan Medicaid Provider Manual, Hospice, Section 3.4.B","Michigan Medicaid Provider Manual, Hospice, Section 3.4.C","Michigan Medicaid Provider Manual, Hospice, Section 4.3"],"federalCitations":["42 CFR §418.108","42 CFR §418.110(b) and (f)","42 CFR §418.204(b)","42 CFR §418.302(b)(3)-(4)","42 CFR §418.112(c)(2)(iii)"],"surveyorAsks":["Where do your patients go for general inpatient care and for respite? Show me the written agreements.","What does the inpatient facility receive from you when a patient is admitted, and what do you get back at discharge?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Mich. Admin. Code R 325.45345(1)(h); 42 CFR §418.108)","5. Where Inpatient Care May Be Given","6. The Written Agreement","7. Arranging an Admission","8. During the Stay","9. Training of Facility Staff","10. Discharge From the Facility","11. Medicare Inpatient Day Limit","12. Michigan Medicaid Patients","13. If the Agency Provides Inpatient Care Itself","14. Checking That Agreements Work","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. 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}}