Skip to content

Written Service Agreement and Service Provision Plan

Requires a written service agreement, signed and dated by the Agency and the client or legal representative at the start of services, that states the services, the rates or charges for private-pay services and the sources of payment (s. 400.487(1), F.S.; Rule 59A-8.020(2), F.A.C.). For non-skilled clients the agreement is the service provision plan, kept 3 years after services end (Rule 59A-8.020(3), F.A.C.; s. 400.491(2), F.S.). Requires the agreement to be updated when services change and to match what is scheduled and delivered.

Preview: full text with a package
About this policy
Policy number
FL-HC-ADM-02
Version
1.0
Main rule
s. 400.487(1), F.S.
Library
Florida home care · 50 policies
Category
Service delivery
Sections
20

In short

  • Every client signs a written service agreement that lists the services, the schedule, the rates and who pays.
  • Provide only the services in the client's agreement and written assignment or task plan.
  • If a client asks for more hours, a different schedule or a new task, call the office. The agreement must be changed first.
  • Never skip or shorten a visit on your own. Missed services can lead to large fines for the Agency.

What's inside

20 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 (s. 400.487(1), F.S.)
  • 5. When the Agreement Is Made
  • 6. What the Agreement Contains
  • 7. The Agreement as the Service Provision Plan
  • 8. Signing, Copies and Filing
  • 9. Changing the Agreement
  • 10. Keeping Services and the Agreement Matched
  • 11. Clients of a Homemaker and Companion Registrant
  • 12. Medicaid and Managed Care Plan Members
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. Staff Training
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Show me this client's signed service agreement. When was it signed compared with the first visit?
  • Does the agreement list the services, the private-pay rates and the payment source?

See Cura Core with your agency's name on it.

Choose your state and type of agency, buy your Policy Pack online and get your sign-in by email. Already a customer? Sign in to your portal.

Get startedSign in