{"ref":"MO-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 the Agency's management and operation, services, fiscal operations, budget and quality program, how it adopts and reviews bylaws and policies, and how the Agency keeps a written organizational structure with lines of authority down to the staff member in the patient's home, as 42 CFR §484.105 and §484.65(e) require of every Missouri-licensed agency through 19 CSR 30-26.010(1)(A).","inShort":["The governing body is legally in charge of the Agency and approves every policy.","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 all care.","Missouri adopts the federal home health rules (42 CFR Part 484) for every licensed agency, so they apply to all our patients.","Department surveyors may visit without notice. Tell the Administrator at once if they arrive."],"primaryCitation":"42 CFR §484.105(a) (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","19 CSR 30-26.010(2)(A)","RSMo §197.400(3), (12)","RSMo §197.445.2"],"federalCitations":["42 CFR §484.100","42 CFR §484.105","42 CFR §484.105(a)","42 CFR §484.105(d)","42 CFR §484.65(e)"],"surveyorAsks":["Who is your governing body, and where are its bylaws and the minutes of its last meetings?","Show me your organization chart. Who does the home health aide report to, and who supervises the nurses and therapists?"],"forms":[{"ref":"MO-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; 19 CSR 30-26.010(1)(A))","5. Governing Body","5.1 Meetings and Minutes","5.2 Conflicts of Interest","6. Bylaws","7. Organization Chart and Lines of Authority","8. Administrative Control, Branch Offices, and Subunits","9. Legal Name and Public Identity","10. Documents Kept Ready for the Department","11. Compliance with Other Laws","12. Annual Review by the Governing Body","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"mo-hha","state":"Missouri","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}}