Transfer and Discharge Notice, Including Discharge for Cause and Medicare Beneficiary Notices
Sets out the only reasons for which the Agency may transfer or discharge a patient under 42 CFR §484.50(d), the written notice given before care is reduced or ended, the Agency's written discharge-for-cause policy with the four steps the rule requires before such a discharge, safe transfer when needs exceed the Agency's capability, and, if the Agency is Medicare-certified, the CMS notices (ABN, HHCCN, NOMNC and DENC) and the expedited determination process through the Quality Improvement Organization.
About this policy
- Policy number
- MO-HH-DC-02
- Version
- 1.0
- Main rule
- 42 CFR §484.50(d) (adopted by 19 CSR 30-26.010(1)(A))
- Library
- Missouri home health · 57 policies
- Category
- Client rights
- Sections
- 21
In short
- We may discharge a patient only for the reasons in this policy, never because of a complaint.
- Give written notice before reducing or ending care.
- For Medicare patients, give the NOMNC no later than 2 days before services end, or at the next-to-last visit when visits are more than 2 days apart.
- Before any discharge for cause, warn everyone involved, try to fix the problem, give other agencies' contacts and document it all.
- If you feel unsafe in a home, leave and call the clinical manager.
What's inside
21 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §484.50(c)(8), (d); 42 CFR §§405.1200 to 405.1204; 19 CSR 30-26.010(1)(A))
- 5. Permitted Reasons for Transfer or Discharge
- 6. Written Notice Before Care Is Reduced or Ended
- 7. MO HealthNet and Other Patients
- 8. Medicare Beneficiary Notices (If the Agency Is Medicare-Certified)
- 9. Expedited Determinations and Financial Liability (Medicare)
- 10. Discharge for Cause
- 11. Transfer When Needs Exceed the Agency's Capability
- 12. When the Agency Ceases to Operate
- 13. The Patient's Right to Disagree and Complain
- 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 transfer and discharge policies. How are patients told about them?
- Why was this patient discharged? Did the physician agree?
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