{"ref":"NC-HH-GOV-04","title":"Certificate of Need, Geographic Service Area, Licensed Premises, and Branch Offices","category":"Governance","summary":"Records the Agency’s certificate of need and license for each site that provides home health services, defines in writing the geographic area served for each service, limits in-home aide services to the area the rules allow, and sets out the notices required before expanding the service area or adding a premises or branch.","inShort":["We provide home health services only from offices that hold a certificate of need and a license.","We serve only the counties listed for each service. Check the list before you accept a new patient.","Aide services are limited to our county, the counties next to it, or 90 minutes’ drive from our office, whichever is larger.","Tell the office before you agree to see anyone outside our service area."],"primaryCitation":"G.S. 131E-176(16)","citations":["G.S. 131E-175","G.S. 131E-176(16)","G.S. 131E-136(4)","10A NCAC 13J .0902","10A NCAC 13J .0905","10A NCAC 13J .1001(g)","10A NCAC 13J .1107(h)","10A NCAC 13J .1101(5)"],"federalCitations":["42 CFR §484.105(d)","42 CFR §424.550(b)","42 CFR §424.516(e)"],"surveyorAsks":["Show me your certificate of need and the license for this site. Do they match the services and the site?","What counties do you serve with each service, and where is that written down?"],"forms":[{"ref":"NC-HH-GOV-04-A","title":"Certificate of Need, Service Area, and Premises Register"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (G.S. 131E-176(16); 10A NCAC 13J .1001(g))","5. Certificate of Need","6. Geographic Service Area for Each Service","7. In-Home Aide Service Area","8. Multiple Premises and Branch Offices","9. Medicare Enrollment Limits on Growth and Sale","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":"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}}