{"ref":"NC-HH-ADM-01","title":"Acceptance of Patients, Referral Intake, and Public Information About Services","category":"Service delivery","summary":"Sets the written acceptance policy North Carolina and Medicare require: every referral is screened the same way against the patient’s needs and the Agency’s staffing, skills, caseload and case mix, service area, the home setting and caregiver support; the referral source is told when a requested service cannot start in the time it asked for; every non-admission is logged with its reason; patients the Agency cannot serve are referred on; and the public information about services and their limits is kept accurate and reviewed at least once a year.","inShort":["Every referral is logged the day it comes in, with the date and time.","The supervising nurse decides on each referral using the same criteria for everyone.","Home health aide services are only given inside the aide service area the Agency has set.","If we cannot start a service when the referral source asked, we tell the referral source right away.","Every referral we do not accept goes in the non-acceptance log with the reason."],"primaryCitation":"10A NCAC 13J .1101","citations":["10A NCAC 13J .1001(a)(2)","10A NCAC 13J .1001(g)","10A NCAC 13J .1101","10A NCAC 13J .1004(c)","10A NCAC 13J .1107(h)","10A NCAC 13J .1402(a)(1)","G.S. 131E-144.3"],"federalCitations":["42 CFR §484.105(i)","42 CFR §484.60","45 CFR Part 92"],"surveyorAsks":["Walk me through what happens when a referral comes in. Who decides whether you accept it?","Show me your acceptance-to-service policy and when it was last reviewed."],"forms":[{"ref":"NC-HH-ADM-01-A","title":"Referral Intake and Acceptance Decision Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1101; 42 CFR §484.105(i))","5. What the Acceptance Policy Must Cover","6. Taking a Referral","7. Acceptance Criteria","8. The Acceptance Decision","9. When a Requested Service Cannot Start in Time","10. Referring Patients the Agency Cannot Serve","11. Admission Data","12. Public Information About Services","13. Annual Review of This Policy","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"nc-hha","state":"North Carolina","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}}