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Transfer and Discharge Notice, Discharge for Cause, and Notices of Non-Coverage

Sets out the only grounds on which the Agency may transfer or discharge a patient, the steps the Agency must take before discharging a patient for cause, the written notice the Agency gives every patient before a transfer or discharge, and the Medicare notices: the Notice of Medicare Non-Coverage at least 2 days before covered services end (with the patient's right to a fast appeal to the Quality Improvement Organization and the Agency's same-day duties when an appeal is filed), the Home Health Change of Care Notice when the Agency reduces or stops services, and the Advance Beneficiary Notice when Medicare may not pay. Michigan sets no separate discharge notice period for home health agencies; the Agency's notice periods are Agency standards.

Preview: full text with a package
About this policy
Policy number
MI-HH-DC-02
Version
1.0
Main rule
42 CFR §484.50(d)
Library
Michigan home health · 57 policies
Category
Service delivery
Sections
18

In short

  • We may discharge a patient only for a reason federal rules allow. A complaint is never a reason.
  • Before a discharge for cause, tell the patient and doctors, try to fix the problem, give other providers' names and record it all.
  • Give the Agency's written notice at least 5 days before the last visit when the discharge is planned.
  • Medicare patients get the Notice of Medicare Non-Coverage at least 2 days before covered services end.
  • If a patient asks for a fast appeal, tell the clinical manager at once. Never discourage an appeal.

What's inside

18 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 §484.50(d))
  • 5. Grounds for Transfer or Discharge
  • 6. Discharge for Cause
  • 7. Notice to the Patient of Transfer or Discharge
  • 8. Medicare Notices
  • 9. When a Medicare Patient Asks for a Fast Appeal
  • 10. Michigan Medicaid and Other Plans
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • On what ground was this patient discharged? Show me the practitioner's agreement.
  • You discharged this patient for cause. Show me how you advised the patient and practitioners beforehand and what you did to resolve the problem.

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