Referral Payments, Kickbacks, Patient Inducements, and Referral Services
Forbids offering, paying, soliciting, or receiving anything of value for patient referrals under California law (the Medi-Cal anti-kickback statute, Business and Professions Code section 650 for licensed staff, and the ban on for-profit referral services) and federal law (the Anti-Kickback Statute, the beneficiary inducement rule, and the physician self-referral law), and sets rules for relationships with referral sources, gifts, and marketing staff pay.
About this policy
- Policy number
- CA-HH-ETH-02
- Version
- 1.0
- Main rule
- Cal. Welf. & Inst. Code §14107.2
- Library
- California home health · 58 policies
- Category
- Ethics
- Sections
- 16
In short
- Never offer, pay, ask for, or accept anything of value for a patient referral.
- No gift cards, cash, meals, or free help for doctors, hospitals, or discharge planners.
- Patients choose their home health agency. Do not pressure anyone to choose us or to leave another agency.
- If someone offers you something for a referral, or asks for something, tell the compliance officer.
What's inside
16 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (Cal. Welf. & Inst. Code §14107.2)
- 5. Relationships With Referral Sources
- 6. Gifts, Meals, and Free Services
- 7. Marketing Staff
- 8. Patient Choice
- 9. Responsibilities
- 10. Records and Compliance Monitoring
- 11. Staff Training
- 12. References
- 13. Related Policies and Forms
- 14. Approval
- 15. Revision History
An inspector may ask
- Do you pay anyone, or any service, for referrals?
- Show me your agreements with physicians or other referral sources. Who approved them and on what basis?
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