Referral, Eligibility, Admission and Veterans Benefits Notice
Sets out how the Agency receives referrals, decides whether a person is eligible for hospice care under Ohio and federal rules, completes the admission visit in the required order, gives the Ohio veterans benefits notice, meets the Ohio Medicaid conditions that must be in place before care, and responds when it cannot admit.
About this policy
- Policy number
- OH-HSP-ADM-01
- Version
- 1.0
- Main rule
- OAC 3701-19-20(A)
- Library
- Ohio hospice · 60 policies
- Category
- Hospice care
- Sections
- 19
In short
- Record every referral on the referral form the day it comes in, and contact the family and physician by the next business day.
- We admit only people who are terminally ill, choose hospice and are recommended by an Agency physician.
- At the admission visit, give rights, consent, election, advance directive and opioid policy information before any care.
- Ask every patient whether they or their spouse served in the military, and give the veterans benefits notice.
- If we cannot admit someone, tell them and the referral source why, and suggest other help.
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 (OAC 3701-19-20(A)-(B); ORC 3712.06(I))
- 5. Eligibility Criteria
- 6. Receiving a Referral
- 7. Physician Review and Admission Decision
- 8. The Admission Visit
- 9. Veterans Benefits Notice (ORC 3712.06(I))
- 10. Ohio Medicaid Admissions
- 11. When the Agency Does Not Admit
- 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
- Walk me through what happens from the moment you receive a referral to the first hospice visit.
- Who recommends admission, and where is the physician's review of eligibility documented?
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