{"ref":"PA-HH-ADM-01","title":"Referral Intake and Patient Acceptance","category":"Service delivery","summary":"Sets out how the Agency receives and records referrals, decides whether it can accept a patient on the basis of a reasonable expectation that the patient’s medical, nursing and social needs can be met adequately in the patient’s place of residence, applies the same acceptance criteria consistently to every referral, logs every referral not accepted with the reason, respects the patient’s free choice of provider, and keeps its public information about services accurate.","inShort":["Pass every referral straight to intake; intake records the date and time it was received on Form PA-HH-ADM-01-A.","Only the supervising nurse or alternate decides whether we accept a patient, using the same criteria for everyone.","We accept a patient only if we can reasonably expect to meet their medical, nursing and social needs at home.","Every referral we do not accept is logged with the reason, and the referral source is told the same business day.","Respect the patient’s choice of agency; never offer anything for a referral."],"primaryCitation":"28 Pa. Code §601.31(a)","citations":["28 Pa. Code §601.31(a)","28 Pa. Code §601.22(a)","28 Pa. Code §601.22(c)","28 Pa. Code §601.21(e)","28 Pa. Code §51.12","55 Pa. Code §1249.42(1)","55 Pa. Code §1101.51(a)"],"federalCitations":["42 CFR §484.105(i)","42 CFR §484.60","42 CFR §484.105(c)(3)"],"surveyorAsks":["Walk me through what happens when a hospital calls with a referral.","How do you decide whether you have the staff to take a new patient? Who makes the decision?"],"forms":[{"ref":"PA-HH-ADM-01-A","title":"Referral Intake and Acceptance Decision Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (28 Pa. Code §601.31(a))","5. Receiving a Referral","6. The Acceptance Decision","7. Evaluation Visit for Medical Assistance Recipients","8. Referrals Not Accepted","9. Freedom of Choice","10. Annual Review and Public Information","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"pa-hha","state":"Pennsylvania","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}}