Home Health Service Agreement, Consents, and Disclosure of Charges
Requires a signed home health service agreement at the start of services that specifies the services, the rates or charges for services paid with private funds, and the sources of payment; sets how consent to care is obtained and how a patient may refuse; requires the patient's written consent before a registered nurse makes supervisory visits of an aide; and sets how the Agency tells patients, orally and in writing, what payers will cover and what the patient may owe, including advance notice of non-covered care and of reduced or ended services.
- Policy number
- FL-HH-PR-03
- Version
- 1.0
- Main rule
- s. 400.487(1), F.S.
- Library
- Florida home health · 57 policies
- Category
- Client rights
- Sections
- 22
In short
- At the start of services, the patient or legal representative and the Agency sign a written agreement listing the services, private-pay charges, and who pays.
- Give the patient a copy of the signed agreement. The original goes in the patient's file.
- Get written consent before a registered nurse makes supervisory visits of an aide in the home.
- Patients may refuse any service at any time. Respect it, write it down, and tell the case manager the same day.
- Tell patients before care starts, and before any change, what their insurance should pay and what they may owe.
What's inside
22 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (s. 400.487(1), F.S.)
- 5. Verifying Payment Sources Before the First Visit
- 6. The Home Health Service Agreement
- 6.1 Contents
- 6.2 Signing and copies
- 6.3 Changes to the agreement
- 7. Consent to Care and the Right to Refuse
- 8. Consent to Registered Nurse Supervisory Visits of Aides
- 9. Telling the Patient About Payment and Charges
- 10. Advance Notice of Non-Covered Care and of Reduced or Ended Care (Medicare-Certified Agencies)
- 11. Patients Who Pay Privately
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me the signed service agreement for this patient. When was it signed, and by whom?
- Where does the agreement state the charges for services paid with private funds and the sources of payment?
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