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Scope of Services and Services Approved on the License

Sets out which home health services the Agency provides: only the types of service the Department has approved and shown on the license (22 CCR §§74627, 74693(d)), each under the direction of a qualified licensed person with written policies and reference material, provided directly or under written arrangement, with equipment checked at every visit and enough qualified staff to deliver what is ordered. Adding or deleting a service is reported to the Department in writing within 10 days (22 CCR §74667(b)(8)). A Medicare-certified agency also makes skilled nursing and at least one other therapeutic service available and provides at least one of them directly (42 CFR §484.105(f)).

Preview: full text with a package
About this policy
Policy number
CA-HH-CS-01
Version
1.0
Main rule
22 CCR §74693
Library
California home health · 58 policies
Category
Service delivery
Sections
21

In short

  • We only provide the services shown on our license.
  • Each service is directed by a qualified licensed person and has written procedures you can look up.
  • Check the equipment we supply at every visit. If it does not work, take it out of use and call your supervisor the same day.
  • Do not provide any service that has no order or is outside your license or certificate.
  • If we cannot staff a service a patient needs, tell the office at once so the patient and practitioner can be told.

What's inside

21 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (22 CCR §74693)
  • 5. Services the Agency May Provide
  • 6. Requirements Before a Service Is Offered
  • 7. Services Provided Directly and Under Arrangement
  • 8. Standards of Practice and Reference Material
  • 9. Checking Equipment at Every Visit
  • 10. Personnel Available to Render Services
  • 11. Personal Care Services Without a Physician’s Plan
  • 12. Services Outside the Residence
  • 13. What the License Does Not Cover
  • 14. Responsibilities
  • 15. Records and Compliance Monitoring
  • 16. Staff Training
  • 17. References
  • 18. Related Policies and Forms
  • 19. Approval
  • 20. Revision History

An inspector may ask

  • Which services are approved on your license, and which of them do you provide directly and which under arrangement?
  • Who directs each service, and what reference material do staff use?

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