{"ref":"TX-HH-PR-03","title":"Patient Agreement, Consent, and Disclosure of Charges","category":"Patient rights","summary":"Sets out the written services agreement every patient receives, how the Agency obtains and documents informed consent, what the patient is told about payment and charges before care begins and when they change, the written notices before non-covered care or before care is reduced or ended, and how a patient withdraws consent.","inShort":["Before care begins, go through the services agreement with the patient and get it signed or marked.","Explain out loud and in writing what Medicare, Medicaid, or insurance should pay and what the patient may have to pay. Have the patient initial the payment part.","If someone signs for the patient, write down who they are and their legal authority, and keep a copy of the paper that gives it.","If payment or charges change, tell the patient before the next visit. Give the required written notice before a service that may not be covered and before reducing or ending care.","A patient may withdraw consent at any time. Respect it at once and tell the supervising nurse the same day."],"primaryCitation":"26 TAC §558.292","citations":["26 TAC §558.292","26 TAC §558.282","26 TAC §558.290","26 TAC §558.301","Tex. Health & Safety Code §142.007","Tex. Hum. Res. Code ch. 102"],"federalCitations":["42 CFR §484.50(c)(4)","42 CFR §484.50(c)(7)","42 CFR §484.50(c)(8)","42 CFR §405.1200","42 CFR §411.408"],"surveyorAsks":["Show me the signed services agreement and the acknowledgment of receipt for this patient.","How did you tell this patient, before care began, what Medicare would pay and what she would pay?"],"forms":[{"ref":"TX-HH-PR-03-A","title":"Home Health Services Agreement and Consent"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.292)","5. Before the First Visit: Verifying Payment","6. The Services Agreement","7. Obtaining Informed Consent","8. Telling the Patient About Payment and Charges","9. Notices Before Non-Covered Care and Before Reducing or Ending Care","10. Changes to the Agreement and Withdrawal of Consent","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":"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}}