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Policy Management, Annual Agency Review, and Document Control

Sets out how the Agency writes, approves, issues, reviews and withdraws its policies and forms, how it tracks the review intervals the Conditions of Participation fix (yearly for the acceptance-to-service policy, public information and the overall plan and budget; at least every 2 years for the emergency preparedness program), and how the governing body completes an annual review of the Agency’s services, quality and compliance. Michigan sets no state review interval for home health policies.

Preview: full text with a package
About this policy
Policy number
MI-HH-GOV-04
Version
1.0
Main rule
42 CFR §484.105(b)(1)(iv)
Library
Michigan home health · 57 policies
Category
Governance
Sections
17

In short

  • Use only the current version of a policy or form from the policy library.
  • Every policy is approved by the governing body and reviewed on a schedule.
  • Some reviews have federal deadlines: the acceptance policy and public information every year, and the emergency plan at least every 2 years.
  • When a rule changes, affected policies are reviewed within 30 days.
  • If a policy looks wrong or out of date, tell the Administrator.

What's inside

17 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 (42 CFR §484.105(b)(1)(iv))
  • 5. Writing and Approving Policies
  • 6. Document Control
  • 7. Review Calendar
  • 8. Tracking Rule Changes
  • 9. Annual Agency Review
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Who approves your policies, and how do you know staff are using the current version?
  • When did you last review your acceptance-to-service policy and the information you give the public about your services?

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