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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.

Preview: full text with a package
About this policy
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.

Full text with a package
  • 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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