{"ref":"OH-HH-ADM-02","title":"Initiation of Care and the Initial Assessment Visit","category":"Service delivery","summary":"Sets the time frame and content of the initial assessment visit: a registered nurse (or the therapist when therapy is the only service ordered) visits within 48 hours of referral, within 48 hours of the patient’s return home, or on the practitioner-ordered start of care date; gives the rights and other notices before care; assesses immediate needs and, for Medicare patients, eligibility and homebound status; and obtains practitioner approval for changes to the referral orders.","inShort":["A registered nurse makes the first visit within 48 hours of referral, within 48 hours of the patient’s return home, or on the start date the practitioner ordered.","A therapist may make the first visit only when therapy is the only service ordered.","Give the rights notice and advance directive information before any care.","If you cannot make the visit on time, tell the clinical manager at once, who tells the practitioner.","Get the practitioner’s approval before adding or changing any service after the evaluation."],"primaryCitation":"42 CFR §484.55(a)","citations":["OAC 5160-12-01(B)","OAC 5160-12-03(B)(8)","OAC 5160-32-02"],"federalCitations":["42 CFR §484.55(a)","42 CFR §484.55(a)(1)","42 CFR §484.55(a)(2)","42 CFR §484.50(a)","42 CFR §484.60(a)(1)","42 CFR §489.102"],"surveyorAsks":["For this patient, when was the referral received and when was the initial assessment visit made?","Who made the visit, and why could a therapist make it here?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.55(a))","5. Time Frames That Apply","6. Who Makes the Visit","7. Before the Visit","8. At the Initial Assessment Visit","9. When the Plan Must Change After the Evaluation","10. When the Visit Cannot Be Made on Time","11. If the Patient’s Needs Cannot Be Met","12. Ohio Medicaid Patients","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":"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}}