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Short-Term Inpatient Care Arrangements

Sets out how the Agency makes short-term inpatient care available for pain control, symptom management and respite: the kinds of facilities that may be used, the written agreement each one must have, what the Agency sends and receives, training of the facility's staff, the five-day respite limit, the Medicare 20 percent inpatient day limit, Michigan Medicaid rules for hospital care, and the separate license needed if the Agency provides inpatient care itself.

Preview: full text with a package
About this policy
Policy number
MI-HSP-FAC-02
Version
1.0
Main rule
42 CFR §418.108
Library
Michigan hospice · 59 policies
Category
Hospice care
Sections
22

In short

  • Inpatient care is for pain or symptoms that cannot be managed at home, or a short break for the family (respite).
  • We use only facilities with a signed agreement. The office keeps the list.
  • Send the plan of care, orders, medicines and our on-call number with the patient, and call the facility nurse to hand over.
  • Stay in touch every day during a symptom-control stay and plan the return home early.
  • Respite is paid for no more than five days in a row. Medicaid patients should not revoke hospice to go to the hospital for their hospice diagnosis.

What's inside

22 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 (Mich. Admin. Code R 325.45345(1)(h); 42 CFR §418.108)
  • 5. Where Inpatient Care May Be Given
  • 6. The Written Agreement
  • 7. Arranging an Admission
  • 8. During the Stay
  • 9. Training of Facility Staff
  • 10. Discharge From the Facility
  • 11. Medicare Inpatient Day Limit
  • 12. Michigan Medicaid Patients
  • 13. If the Agency Provides Inpatient Care Itself
  • 14. Checking That Agreements Work
  • 15. Responsibilities
  • 16. Records and Compliance Monitoring
  • 17. Staff Training
  • 18. References
  • 19. Related Policies and Forms
  • 20. Approval
  • 21. Revision History

An inspector may ask

  • Where do your patients go for general inpatient care and for respite? Show me the written agreements.
  • What does the inpatient facility receive from you when a patient is admitted, and what do you get back at discharge?

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