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Referral Intake and Patient Acceptance to Service

Sets out how the Agency receives and records referrals, the written acceptance-to-service criteria it applies consistently to every prospective patient (anticipated needs, caseload and case mix, staffing levels, and staff skills and competencies), who decides, what happens when a referral cannot be accepted or cannot be started on time, the accurate public information the Agency keeps about its services and their limits, and the annual review of both, as 42 CFR §484.105(i) requires of every Missouri-licensed agency.

Preview: full text with a package
About this policy
Policy number
MO-HH-ADM-01
Version
1.0
Main rule
42 CFR §484.105(i) (adopted by 19 CSR 30-26.010(1)(A))
Library
Missouri home health · 57 policies
Category
Service delivery
Sections
21

In short

  • Record every referral with the date and time it came in. That time starts the 48-hour clock.
  • The clinical manager decides every referral using the same written criteria for every person.
  • Accept only patients whose needs we can meet at home with the staff and skills we have.
  • If we cannot start on time, tell the referral source at once and get a new ordered date or decline.
  • Log every declined referral with the reason. Never decline for a discriminatory reason.

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 (42 CFR §484.105(i); 42 CFR §484.60; 19 CSR 30-26.010(1)(A))
  • 5. Receiving Referrals
  • 6. Information Collected at Intake
  • 7. Acceptance-to-Service Criteria
  • 8. Making and Recording the Decision
  • 9. Accepting a Referral That Cannot Start on Time
  • 10. Declining a Referral
  • 11. MO HealthNet Referrals
  • 12. Accurate Public Information About Services
  • 13. Annual Review of the Acceptance-to-Service Policy
  • 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 acceptance-to-service policy. When was it last reviewed, and by whom?
  • How do you decide whether you can accept a referral? Who makes the decision, and is it applied the same way to every patient?

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