Discharge, Transfer and Discharge Planning
Sets when and how the Agency discharges a living patient or transfers care: the Medicare discharge reasons (moving out of the service area or transferring, no longer terminally ill, or for cause after the required steps); the written discharge order from the medical director, physician designee or a physician member of the interdisciplinary group, with the attending physician consulted (42 CFR §418.26(b), effective October 1, 2026); discharge planning; the Notice of Medicare Non-Coverage and the right to a fast appeal; the Notice of Termination/Revocation; the Florida comprehensive discharge summary for the receiving provider (s. 400.6095(7), F.S.); and the rule that no patient is discharged for inability to pay.
- Policy number
- FL-HSP-DC-01
- Version
- 1.0
- Main rule
- s. 400.6095(7), F.S.
- Library
- Florida hospice · 60 policies
- Category
- Hospice care
- Sections
- 19
In short
- We discharge a living patient only if they move out of our area, are no longer terminally ill, or for cause after every required step.
- Never discharge because someone cannot pay, needs costly care or has complained.
- A hospice physician must sign a discharge order first, after talking with the attending physician.
- Give the discharge notice early, and for Medicare patients no longer terminally ill, the NOMNC at least 2 days before services end.
- Arrange the next care and send the discharge summary to the receiving provider.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (s. 400.6095(7), F.S.; Rule 59A-38.004(3)(a)11., F.A.C.; 42 CFR §418.26)
- 5. When the Agency May Discharge
- 6. Physician Order and Review
- 7. Discharge Planning
- 8. Notice to the Patient
- 9. Discharge for Cause
- 10. Discharge Summary and Records
- 11. After Discharge
- 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 a recent live discharge. Where is the physician’s written discharge order, and was the attending physician consulted?
- For a patient discharged as no longer terminally ill, when was the Notice of Medicare Non-Coverage given and signed?
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