{"ref":"NC-HSP-GOV-03","title":"Hospice License, Certificate of Need and Medicare Certification","category":"Governance","summary":"Explains when a hospice license is required, how the license is renewed, posted and kept current, the certificate of need, the written notices the Agency must send the Division (ownership or name change at least 30 days before, director vacancy within five working days, service area expansion 30 days ahead), provisional licenses and revocation, and how Medicare certification and NC Medicaid enrollment are kept current.","inShort":["Only a licensed hospice may offer or advertise hospice care in North Carolina. Our license number is 000000.","The license is posted where the public can see it, with our name on a sign at the public entrance.","A change of owner or name needs written notice to the Division at least 30 days before.","Keep your own license or Nurse Aide Registry listing current. You cannot work if it lapses.","Only the Administrator speaks for the Agency to the Division about the license."],"primaryCitation":"G.S. 131E-203","citations":["G.S. 131E-203","G.S. 131E-205","G.S. 131E-206","G.S. 131E-208","G.S. 131E-176(16)n, o","10A NCAC 13K .0201","10A NCAC 13K .0202","10A NCAC 13K .0206","10A NCAC 13K .0210","10A NCAC 13K .0301(c), (f)","10A NCAC 13K .0605"],"federalCitations":["42 CFR §418.116","42 CFR §424.516"],"surveyorAsks":["Where is your license posted, and is there a sign with your agency name at the public entrance?","Have you had a change of ownership or name since your last survey? Show me the 30-day notice."],"forms":[{"ref":"NC-HSP-GOV-03-A","title":"License, Certificate of Need and Notice Log"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (G.S. 131E-203)","5. The License","6. Certificate of Need","7. Exemptions and Emergencies","8. Written Notices to the Division","9. Provisional License, Revocation and Appeal","10. Staff Licensure","11. Home Care License","12. Medicare Certification and NC Medicaid Enrollment","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-hospice","state":"North Carolina","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}}