{"ref":"PA-HH-ETH-01","title":"Referral Payments, Kickbacks, and Patient Solicitation","category":"Ethics","summary":"Prohibits the Agency and its staff from offering, paying, soliciting or receiving anything of value for patient referrals, from soliciting Medical Assistance recipients from other providers, and from inducing patients to choose the Agency, and requires accurate public information about the Agency’s services.","inShort":["Never offer, ask for or accept anything of value for a patient referral.","Do not give patients gifts or favors to get them to choose or stay with the Agency.","Every patient may choose any home health agency; respect that choice.","Report any improper offer to the Administrator right away."],"primaryCitation":"55 Pa. Code §1101.51(c)","citations":["55 Pa. Code §1101.51(a)","55 Pa. Code §1101.51(c)","62 P.S. §1407(a)(2)","28 Pa. Code §601.21(d)"],"federalCitations":["42 U.S.C. §1320a-7b(b)","42 U.S.C. §1320a-7a(a)(5)","42 CFR §1001.952","42 CFR §484.105(i)(2)"],"surveyorAsks":["How do you market your services to physicians, hospitals and facilities?","Do you pay anyone for referrals, or give gifts to referral sources or patients?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (55 Pa. Code §1101.51(c))","5. What Staff Must Not Do","6. Permitted Activities","7. Patient Choice","8. Accurate Public Information","9. Reporting Concerns","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. 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}}