{"ref":"MO-HSP-CON-01","title":"Contracted Services and Professional Management Responsibility","category":"Business","summary":"Sets out which hospice services Missouri requires the Agency to give through its own direct employees and which may be contracted, the five things every Missouri contract for services must contain, the extra federal and Agency contract terms, the checks made before signing, how the Agency keeps professional management responsibility for contracted care, and how contracts are monitored.","inShort":["Nursing, social work, spiritual care and bereavement care are given by staff the Agency pays directly. Contract staff only fill short-term gaps.","A contracted provider gives only the services the Agency authorizes in the plan of care.","Every contract is in writing and says what services are given, how the Agency coordinates them, who does what, and that the provider is licensed.","When a patient goes into an inpatient facility, send the plan of care with them and keep visiting.","The Agency stays responsible for all care, even care a contractor gives."],"primaryCitation":"19 CSR 30-35.010(2)(C)","citations":["19 CSR 30-35.010(2)(C)","19 CSR 30-35.010(1)(A)6, 7, 10","19 CSR 30-35.010(2)(G)","19 CSR 30-35.010(2)(L)4","19 CSR 30-35.010(2)(M)3","19 CSR 30-35.010(2)(K)5","13 CSR 70-50.010(5)","13 CSR 70-50.010(7)(B)1"],"federalCitations":["42 CFR §418.64","42 CFR §418.100(e)","42 CFR §418.106(f)(3)","42 CFR §418.108(c)","42 CFR §418.112(c)","42 CFR §418.114(d)(1)","45 CFR §164.504(e)"],"surveyorAsks":["Which services do you provide under contract? Show me the written agreements.","Show me where this contract identifies the services, how you coordinate them, each party's role, and the assurance that the provider is licensed."],"forms":[{"ref":"MO-HSP-CON-01-A","title":"Contract Review Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.010(2)(C))","5. What May Be Contracted","6. What Every Contract Contains","7. Before Signing","8. Keeping Professional Management Responsibility","9. Monitoring Contracts","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"mo-hospice","state":"Missouri","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}}