Discontinuing Services, Discharge, and Transfer
Sets out when and how the Agency discontinues a participant's services: immediately when DSDS closes the case; immediate written notice to DSDS of death, nursing home entry or other circumstances that may require closing, and of threats or abuse toward staff; and, when a participant is noncompliant with the care plan or the Agency can no longer meet the needs of a participant still in need, conferences with DSDS and the participant, written notice of discharge to the participant or family and DSDS at least 21 days before the discharge date, and continued care under the care plan for those 21 days or until DSDS arranges alternatives, whichever comes first. This is the Agency's policy under MMAC Proposal for Contract, Section VI, item 8.
- Policy number
- MO-HC-DC-01
- Version
- 1.0
- Main rule
- 19 CSR 15-7.021(16)
- Library
- Missouri home care · 50 policies
- Category
- Service delivery
- Sections
- 20
In short
- Never stop visits on your own. Only the Agency and DSDS end services.
- If services are ending because of noncompliance or because we cannot meet needs, the participant and DSDS get written notice at least 21 days before.
- Keep providing care under the care plan during the notice period.
- If a participant, family member or anyone in the home threatens or abuses you, leave if you are in danger, call 911 if needed, and call the office at once.
- Tell the office right away if a participant dies, moves to a nursing home or no longer wants services.
What's inside
20 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (19 CSR 15-7.021(16))
- 5. Reasons Services End and What the Agency Does
- 6. Before Discharging a Participant Still in Need
- 7. The 21-Day Written Notice
- 8. Immediate Written Notices to DSDS
- 9. Threats or Abuse Toward Staff
- 10. Death of a Participant
- 11. Referral and Follow-Up
- 12. Closing the Record
- 13. Responsibilities
- 14. Records and Compliance Monitoring
- 15. Staff Training
- 16. References
- 17. Related Policies and Forms
- 18. Approval
- 19. Revision History
An inspector may ask
- Show me the last participant you discharged for a reason other than death or a DSDS closure: the conferences, the 21-day notice to the participant and DSDS, and the visits delivered during the notice period.
- What do you do when you learn that a participant has entered a nursing home?
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