Discharge, Non-Compliance and Transfer
Limits live discharge to the reasons in LAC 48:I §8229.B, 42 CFR §418.26 and the Medicaid manual, sets out the steps before a discharge for safety or cause, counseling (not discharge) for non-compliance, the written physician discharge order required since August 3, 2026, notice to the patient and the CMS notice of non-coverage, the discharge summary, and the Medicare and Medicaid filings within five calendar days.
About this policy
- Policy number
- LA-HSP-DC-01
- Version
- 1.0
- Main rule
- LAC 48:I §8229
- Library
- Louisiana hospice · 60 policies
- Category
- Hospice care
- Sections
- 19
In short
- We discharge a living patient only for a reason the rules allow, and we document why.
- A hospice physician signs a written discharge order first, after talking with the attending physician.
- Before a discharge for safety, try every way to solve the problem and write down each effort.
- Give the patient a written notice and help arrange the next care.
- Send the discharge summary to the attending physician, and file the payor notices within five calendar days.
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 (LAC 48:I §8229)
- 5. Permitted Reasons for Discharge
- 6. No Longer Terminally Ill
- 7. Discharge for Safety or Cause
- 8. Non-Compliance
- 9. Physician Discharge Order
- 10. Notice to the Patient
- 11. Discharge Summary, Records and Filings
- 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
- Why was this patient discharged, and where is that documented?
- Show me the physician’s discharge order and the attending physician consultation.
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