{"ref":"TX-HH-GOV-04","title":"Services Under Arrangement and Independent Contractors","category":"Governance","summary":"Requires a written contract for every service the Agency provides through an independent contractor or another organization, sets out what the contract must say, and keeps the Agency responsible for admission, care planning, supervision, background checks, and quality of those services.","inShort":["Contracted nurses, therapists, and aides follow the same policies as employees.","Patients are accepted only by Sample Home Health Agency, LLC, never by a contractor.","No contracted person may see a patient until their background and registry checks are on file with us.","Contracted staff take part in care planning and report changes in a patient’s condition to the supervising nurse.","Turn in your visit notes on time. They become part of our clinical record."],"primaryCitation":"26 TAC §558.289","citations":["26 TAC §558.289","26 TAC §558.247","Tex. Health & Safety Code ch. 250"],"federalCitations":["42 CFR §484.105(e)","42 CFR §484.105(f)","42 CFR §484.80(h)(5)","42 CFR §484.40","45 CFR §164.504(e)"],"surveyorAsks":["Show me the written contract for your contracted physical therapist. Where does it say that patients are accepted only by the Agency?","How do you make sure a contracted aide had registry and criminal history checks before seeing a patient?"],"forms":[{"ref":"TX-HH-GOV-04-A","title":"Arranged Services Agreement Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.289)","5. What Every Contract Contains","6. Procedure","7. Responsibilities","8. Records and Compliance Monitoring","9. Staff Training","10. References","11. Related Policies and Forms","12. Approval","13. Revision History"],"version":"1.0","sample":false,"pack":"tx-lhhs","state":"Texas","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 Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}