{"ref":"MO-HSP-FAC-02","title":"Short-Term Inpatient and Respite Care Arrangements","category":"Hospice care","summary":"Sets out where the Agency arranges general inpatient care and inpatient respite care, what every inpatient agreement contains, how the plan of care goes with the patient and is updated on inpatient admission as Missouri requires, how the Agency keeps professional management of the patient during the stay, the respite limits that Medicare (no more than five consecutive days at a time) and MO HealthNet (five days per calendar month) place on payment, and how the Agency keeps inpatient days within the 20 percent limit.","inShort":["Inpatient and respite care is used only in facilities the Agency has a written agreement with.","When a patient goes in, send the plan of care, medications, orders, advance directives and your contact numbers, and write down what you sent.","The Agency stays in charge of hospice care during the stay. Stay in touch with the facility every day for inpatient patients.","Respite has payer limits. Check the days used before the stay and tell the family the planned discharge date.","Get the discharge summary and update the plan of care when the patient goes home."],"primaryCitation":"42 CFR §418.108","citations":["19 CSR 30-35.010(2)(C)1.A","19 CSR 30-35.010(2)(C)1.B(V)","19 CSR 30-35.010(2)(C)1.B(IV)","19 CSR 30-35.010(2)(K)5","13 CSR 70-50.010(7)(A)3-4","13 CSR 70-50.010(7)(D)"],"federalCitations":["42 CFR §418.108","42 CFR §418.204(b)","42 CFR §418.302(f)","42 CFR §418.110(b), (f)"],"surveyorAsks":["Show me your agreement with the hospital or facility you use for inpatient care. Where does it say the plan of care is transferred and updated?","For this patient's inpatient stay, show me what you sent, how often your staff were involved, and the discharge summary you received."],"forms":[{"ref":"MO-HSP-FAC-02-A","title":"Inpatient Admission and Plan of Care Transfer Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement","5. Where Inpatient Care May Be Provided","6. What Every Inpatient Agreement Contains","7. Admitting a Patient to Inpatient Care","8. During the Stay","9. Respite Care Limits","10. Discharge from Inpatient Care","11. The 20 Percent Inpatient Limit","12. Checking That the Agreement Is Followed","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-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}}