Referral, Admission Criteria and Admission Procedure

Sets out the Agency’s written admission criteria under LAC 48:I §8219.B, how referrals are received only from physicians or their authorized representatives, the attending physician’s order, the registered nurse assessment visit within 48 hours of referral (and of election for Medicare), the admission documents of §8219.C.2, and the Medicaid, PACE, waiver and pediatric rules that apply at admission.

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About this policy

Policy number: LA-HSP-ADM-01
Version: 1.0
Main rule: LAC 48:I §8219.B, C
Library: Louisiana hospice · 60 policies
Category: Hospice care
Sections: 21

In short

We accept orders to assess or admit only from a licensed physician or an authorized representative, such as a hospital discharge planner.
A registered nurse, never an LPN, makes the assessment visit within 48 hours of the referral.
Admit only patients who are terminally ill, live in our parishes, and choose hospice freely.
Check payor rules, PACE and Medicaid waiver services before admission.
Every admission document listed in the policy goes in the record on the day of admission.

What's inside

21 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 (LAC 48:I §8219.B, C)
5. Admission Criteria
6. Receiving a Referral
7. The Attending Physician’s Order and Physician Review
8. The Admission Assessment Visit
9. Documents at Admission
10. Medicaid Beneficiaries, Waiver Participants and Children
11. Where the Patient Lives
12. When the Agency Does Not Admit
13. Re-admission
14. Responsibilities
15. Records and Compliance Monitoring
16. Staff Training
17. References
18. Related Policies and Forms
19. Approval
20. Revision History

An inspector may ask

Show me your written admission criteria.
When was this referral received, and when did the registered nurse make the assessment visit?

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Rules it follows

LAC 48:I §8219.B, CLAC 48:I §8219.BLAC 48:I §8219.CLAC 48:I §8235.D.1.a, d, g, hLAC 48:I §8235.D.2.nLAC 48:I §8221.A.1LAC 48:I §8221.C.1LAC 48:I §8201 (Terminally Ill; Geographic Area)LAC 48:I §8217.H.3.dLAC 48:I §8217.I.1.b.iiiLAC 48:I §8217.I.2.aLAC 48:I §8231.A.3R.S. 40:2183.1Louisiana Medicaid Services Manual, Chapter 24 (Hospice), §§24.1-24.342 CFR §418.2542 CFR §418.2042 CFR §418.54(a)42 CFR §418.24(h)42 U.S.C. §1396d(o)(1)(C)

Forms included

LA-HSP-ADM-01-A Referral and Admission Record

Read a sample in full

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