Geographic Service Area, Two-Hour Response Radius and Multiple Locations

Explains how the Agency calculates and keeps its CDPH-approved geographic service area: the area a licensed nurse can reach in person within two hours of the parent office, limited to counties with an unmet need for hospice care. Covers the drive-time samples, the unmet need formula, changes that need CDPH approval first, multiple locations, and the intake and marketing controls that keep the Agency inside its area.

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About this policy

Policy number: CA-HSP-GOV-03
Version: 1.0
Main rule: 22 CCR §74820
Library: California hospice · 60 policies
Category: Governance
Sections: 17

In short

A licensed nurse must be able to reach any patient in person within two hours, at any hour of any day.
The Agency serves only the counties CDPH has approved: Sacramento and Placer Counties.
Before accepting a referral, check that the patient's home address is inside the approved area. Do not accept patients who live outside it.
A nursing home or other facility where the patient lives counts as the patient's home.
Never advertise or offer services in a county the Agency is not approved to serve.

What's inside

17 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 §74820)
5. Calculating the Two-Hour Radius
6. The Unmet Need Test for Each County
7. Changing the Service Area
8. Multiple Locations
9. Staying Inside the Area Every Day
10. Responsibilities
11. Records and Compliance Monitoring
12. Staff Training
13. References
14. Related Policies and Forms
15. Approval
16. Revision History

An inspector may ask

Show me the drive-distance samples, with timestamps, and the calculation behind your geographic service area.
Which counties are you approved to serve, and where is CDPH's written approval?

California hospice

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Rules it follows

22 CCR §7482022 CCR §74800(a)(23), (40), (43), (51), (56)22 CCR §74812(c)(32)22 CCR §74816(d)22 CCR §74828(a)(1), (a)(2)(B), (f)(1), (f)(6)22 CCR §74860(f)Cal. Health & Safety Code §1746(i), (k)Cal. Health & Safety Code §1748(a)Cal. Health & Safety Code §1749(f)Cal. Health & Safety Code §1751.7042 CFR §418.100(f)42 CFR §418.116(a)42 CFR §418.26(a)(1)

Forms included

CA-HSP-GOV-03-A Two-Hour Drive Distance Sample Worksheet
CA-HSP-GOV-03-B County Unmet Need Calculation Worksheet

Read a sample in full

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