{"ref":"MO-HH-GOV-06","title":"Services Under Arrangement and Contracted Personnel","category":"Governance","summary":"Sets out how the Agency furnishes services through other agencies, organizations or individuals under written agreements while keeping overall responsibility for those services and how they are furnished, screens every contractor for exclusion and Missouri background check requirements, and supervises contracted aides and professionals as if they were employees.","inShort":["Some services may be given by other companies or contractors under a written agreement.","The Agency stays responsible for that care and how it is given.","Contracted staff need the same background checks, registry, training and dementia training as employees.","Contracted aides are supervised by our nurses in the same way as our own aides.","Report any problem with a contractor's care to the clinical manager."],"primaryCitation":"42 CFR §484.105(e) (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","19 CSR 30-26.010(1)(B)","RSMo §192.2495.3","RSMo §210.900.2(4)"],"federalCitations":["42 CFR §484.105(e)","42 CFR §484.105(f)","42 CFR §484.75","42 CFR §484.80(h)(5)","42 CFR §484.110","45 CFR §164.504(e)"],"surveyorAsks":["Which services do you provide under arrangement, and with whom? Show me the written agreements.","How do you make sure a contracted therapist or aide meets the same qualifications, training and background checks as your own staff?"],"forms":[{"ref":"MO-HH-GOV-06-A","title":"Services Under Arrangement Agreement Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.105(e) (adopted by 19 CSR 30-26.010(1)(A)))","5. Written Agreement","6. Checks Before the First Visit","7. Monitoring and Control","8. Staffing Agencies","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. 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}}