{"ref":"OH-HSP-GOV-03","title":"Hospice Care Program License, Renewal and Notices to the Director of Health","category":"Governance","summary":"Explains the Ohio hospice care program license: who needs one, what the application and renewal must contain, the fees, when the license must be renewed, what changes must be reported to the director of health and by when, how to relocate the licensed location, and the parallel notices to Medicare and Ohio Medicaid.","inShort":["Only a program with an Ohio hospice license may call itself a \"hospice\" or provide hospice care.","The license lasts three years and must be renewed at least 90 days before it expires.","The renewal must include written evidence that the Agency follows its opioid diversion policy.","Tell the Administrator before any change of address, owner, officer, service, contractor or service area: ODH must be told within the rule's time limits.","The license is posted where people can see it at 100 Example Street, Suite 100, Columbus, Ohio 43215."],"primaryCitation":"ORC 3712.04","citations":["ORC 3712.03(A)(2)","ORC 3712.04","ORC 3712.05","ORC 3712.062(F)","ORC 3712.99(A)","OAC 3701-19-02","OAC 3701-19-03","OAC 3701-19-04","OAC 3701-19-07(C)-(D)","OAC 5160-1-17.2(F)","OAC 5160-56-04(B)"],"federalCitations":["42 CFR §418.116","42 CFR §424.550(b)","42 CFR §420.206","42 CFR §424.570"],"surveyorAsks":["Where is your license posted, and when does it expire?","When did you file your last renewal, and did it include the written evidence that you comply with ORC 3712.062?"],"forms":[{"ref":"OH-HSP-GOV-03-A","title":"License Change and Notice Log"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (ORC 3712.04; ORC 3712.05)","5. License Basics","6. Initial Application","7. Renewal","8. If Medicare Certification or Accreditation Ends","9. Notices of Change to ODH","10. Relocating the Licensed Location","11. Parallel Notices to Medicare and Ohio Medicaid","12. Denial, Suspension and Revocation","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-hospice","state":"Ohio","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}}