{"ref":"NC-HC-DC-01","title":"Reduction, Termination, Transfer, and Discharge","category":"Service delivery","summary":"Sets when and how the Agency reduces, suspends or ends a service or discharges a client, the advance notice of at least 48 hours that 10A NCAC 13J .1101(7) requires and its exceptions, referral and coordination so that the client is not left without needed care, transfer to another provider, the discharge summary, and reporting NC Medicaid discharges to the assessment entity.","inShort":["Clients get at least 48 hours' written notice before services are reduced or ended.","The exceptions: the client agrees, there is danger to a client or staff member, or the physician ends services.","Never tell a client that services will end unless the supervisor has decided it.","Tell your supervisor at once if a client wants to stop services, is moving, or is in danger.","NC Medicaid discharges are reported to the assessment entity within 7 business days."],"primaryCitation":"10A NCAC 13J .1101(7)","citations":["10A NCAC 13J .1101(7), (8)","10A NCAC 13J .1001(a)(2)","10A NCAC 13J .1402(a)(2)(D)","10A NCAC 13J .1004(c)(6)","10A NCAC 13J .1401(f)","G.S. 131E-144.3(4), (9), (12)","G.S. 108A-102","NC Medicaid Clinical Coverage Policy 3L, §5.4.5(c), §5.4.11(c), (h)"],"federalCitations":[],"surveyorAsks":["Show me the notice you gave this client before reducing services. When was it given, and how many hours before the change?","This client was discharged without notice. Which exception applied, and where is it documented?"],"forms":[{"ref":"NC-HC-DC-01-A","title":"Notice of Reduction or Termination of Services"},{"ref":"NC-HC-DC-01-B","title":"Discharge Summary"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1101(7))","5. Reasons Services May Be Reduced or Ended","6. Deciding to Reduce or End Services","7. Advance Notice","8. Client Requests and Agreement","9. Referral and Coordination So the Client Is Not Left Without Care","10. Transfer to Another Provider","11. Completing the Discharge","12. Readmission","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":"nc-hca","state":"North Carolina","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}