{"ref":"OH-HH-ADM-01","title":"Referral Intake, Acceptance to Service, and Public Information About Services","category":"Service delivery","summary":"The Agency’s patient acceptance-to-service policy under 42 CFR §484.105(i): how referrals are received and screened, the criteria applied consistently to every prospective patient (anticipated needs, case load and case mix, staffing levels, staff skills and competencies), how decisions are made and communicated, the non-admission log, the accurate public information about services and limitations, and the annual review.","inShort":["Record every referral on the intake form the same day it arrives.","The clinical manager decides on every referral using the same criteria: the patient’s needs, case load, staffing and staff skills.","Never refuse a referral because of race, disability, age, sex, national origin, language or, for Ohio Medicaid patients, source of payment.","Tell the referral source the decision promptly, and log every referral the Agency does not accept, with the reason."],"primaryCitation":"42 CFR §484.105(i)","citations":["OAC 3701-60-03(A)(3)(i)","OAC 3701-60-03(A)(3)(j)","OAC 3701-60-03(I)","OAC 5160-1-17.2(A)","OAC 5160-12-01(E)"],"federalCitations":["42 CFR §484.105(i)","42 CFR §484.105(i)(1)","42 CFR §484.105(i)(2)","42 CFR §484.60","42 CFR §484.105(c)(3)"],"surveyorAsks":["Show me your acceptance-to-service policy and the record of its last annual review.","How do you decide whether you can accept a referral? Show me the decision record for this referral you did not accept."],"forms":[{"ref":"OH-HH-ADM-01-A","title":"Referral Intake and Acceptance Decision Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.105(i))","5. Receiving a Referral","6. Acceptance Criteria","7. What Is Never a Reason to Refuse","8. Making and Communicating the Decision","9. The Non-Admission Log and Program Review","10. Public Information About Services","11. Annual Review of This Policy","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"oh-hha","state":"Ohio","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}}