Requests for Services, Eligibility and Admission
Sets how the Agency receives, records and answers every request for hospice services, including whether the patient can pay (Rule 59A-38.004(3)(a)11., F.A.C.); the eligibility criteria under Florida’s one-year definition of terminally ill and the six-month Medicare and Medicaid test; the admission decision by the medical director with the attending physician; the admission visit; and the identification of a primary caregiver or an alternative plan of care, with no refusal or discharge for inability to pay.
About this policy
- Policy number
- FL-HSP-ADM-01
- Version
- 1.0
- Main rule
- s. 400.6095(2)-(4), F.S.
- Library
- Florida hospice · 60 policies
- Category
- Hospice care
- Sections
- 19
In short
- Write every request for hospice care on Form FL-HSP-ADM-01-A, with the action taken and whether the patient can pay.
- Never turn anyone away, or delay admission, because they cannot pay.
- A Florida physician must diagnose a terminal illness, and the medical director must review and agree, before admission.
- At admission give rights, consent, advance directive, election and emergency plan information, and start the plan of care.
- Name the primary caregiver on Form FL-HSP-ADM-01-B, or make an alternative plan if there is none.
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(2), F.S.; Rule 59A-38.004(3)(a)11., F.A.C.; 42 CFR §418.25)
- 5. Receiving and Recording Requests
- 6. Eligibility
- 7. The Admission Decision
- 8. The Admission Visit
- 9. Primary Caregiver or Alternative Plan
- 10. Patients in Facilities and Children
- 11. When the Agency Cannot Admit
- 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 your record of requests for services, with the action taken on each and whether the patient could pay.
- Who decides that a patient is eligible for admission, and what information do they consider?
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