Acceptance of Patients, Referral Intake, and Public Information About Services
Sets the written acceptance policy North Carolina and Medicare require: every referral is screened the same way against the patient’s needs and the Agency’s staffing, skills, caseload and case mix, service area, the home setting and caregiver support; the referral source is told when a requested service cannot start in the time it asked for; every non-admission is logged with its reason; patients the Agency cannot serve are referred on; and the public information about services and their limits is kept accurate and reviewed at least once a year.
- Policy number
- NC-HH-ADM-01
- Version
- 1.0
- Main rule
- 10A NCAC 13J .1101
- Library
- North Carolina home health · 57 policies
- Category
- Service delivery
- Sections
- 21
In short
- Every referral is logged the day it comes in, with the date and time.
- The supervising nurse decides on each referral using the same criteria for everyone.
- Home health aide services are only given inside the aide service area the Agency has set.
- If we cannot start a service when the referral source asked, we tell the referral source right away.
- Every referral we do not accept goes in the non-acceptance log with the reason.
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 (10A NCAC 13J .1101; 42 CFR §484.105(i))
- 5. What the Acceptance Policy Must Cover
- 6. Taking a Referral
- 7. Acceptance Criteria
- 8. The Acceptance Decision
- 9. When a Requested Service Cannot Start in Time
- 10. Referring Patients the Agency Cannot Serve
- 11. Admission Data
- 12. Public Information About Services
- 13. Annual Review of This 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
- Walk me through what happens when a referral comes in. Who decides whether you accept it?
- Show me your acceptance-to-service policy and when it was last reviewed.
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