Transfer and Discharge Notices, Including Discharge for Cause
Limits transfer and discharge to the seven grounds in 42 CFR §484.50(d), sets who decides, gives the patient written notice with the advance notice each payer requires (the Medicare termination notice no later than 2 days before services end if the Agency is Medicare-certified; for Ohio Medicaid at least thirty days before the last date of service unless an exception applies; for ODM-administered waiver services thirty calendar days, or ten days in listed cases), explains the Medicare expedited determination, and sets the steps that must come before a discharge for cause.
- Policy number
- OH-HH-DC-02
- Version
- 1.0
- Main rule
- 42 CFR §484.50(d)
- Library
- Ohio home health · 59 policies
- Category
- Service delivery
- Sections
- 19
In short
- A patient may be transferred or discharged only for one of the seven reasons in the policy, decided by the clinical manager.
- Give the patient written notice in advance: for Ohio Medicaid at least thirty days unless an exception applies, and the Medicare notice at least 2 days before Medicare services end.
- Before a discharge for cause, tell the patient and practitioners, try to solve the problem, give contact details for other providers, and document it all.
- Never discharge a patient because they complained.
- Help a Medicare patient who wants a fast review by the Quality Improvement Organization.
What's inside
19 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(d))
- 5. The Only Grounds for Transfer or Discharge
- 6. Who Decides
- 7. Written Notice to the Patient
- 8. When Advance Notice Is Not Possible
- 9. Medicare Expedited Determination
- 10. Discharge for Cause
- 11. After Transfer or Discharge
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me your transfer and discharge policy and the notice you gave this patient.
- Why was this patient discharged, and who agreed to it?
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