{"ref":"NC-HH-GOV-05","title":"Contracts and Services Under Arrangement","category":"Governance","summary":"Requires a written agreement, signed by both parties and containing the ten items North Carolina lists, for every service the Agency provides through another agency or individual. Keeps the Agency responsible for contracted care, requires contracted staff to meet the same requirements as Agency staff, and requires each agreement to be reviewed every year.","inShort":["Some services may be given by contractors. They must follow our policies and the patient’s plan of care.","Contract staff are licensed, background-checked and competency-checked before they see our patients.","Contract staff write their notes in our record so we keep a complete record for every patient.","Tell your supervisor if a contractor misses a visit or does not follow the plan of care."],"primaryCitation":"10A NCAC 13J .1111","citations":["10A NCAC 13J .1001(f)","10A NCAC 13J .1111","10A NCAC 13J .1003(c)","G.S. 131E-265","NC Medicaid Clinical Coverage Policy 3A"],"federalCitations":["42 CFR §484.105(e)","42 CFR §484.105(f)"],"surveyorAsks":["Which services do you provide under contract? Show me the signed agreements.","Does each agreement say how contracted staff are supervised and how their documentation gets into your record?"],"forms":[{"ref":"NC-HH-GOV-05-A","title":"Contract and Arrangement Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1111; 42 CFR §484.105(e))","5. What Every Agreement Contains","6. Contract Personnel Meet the Same Requirements","7. Control, Supervision and Documentation","8. Annual Review","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. 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}}