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Time Frames for Initiation of Care

States the Agency’s own time frame for starting care after a referral, the federal time frames that also apply if the Agency is Medicare-certified, how the clock is measured, what staff do when the time frame cannot be met, and how services are placed on hold and resumed.

Preview: full text with a package
About this policy
Policy number
TX-HH-ADM-02
Version
1.0
Main rule
26 TAC §558.294
Library
Texas home health · 56 policies
Category
Service delivery
Sections
16

In short

  • Our start-of-care time frame: care starts within 48 hours of receiving the referral, or on the date the practitioner orders.
  • If we are Medicare-certified, the registered nurse’s initial assessment visit must also be within 48 hours of referral, within 48 hours of the patient’s return home, or on the ordered start date. Meet whichever is earlier.
  • The clock runs on weekends and holidays and does not stop while we wait for paperwork.
  • If a deadline is at risk, tell the supervising nurse before it passes. The patient and practitioner must be told of any delay.
  • After a hospital stay of 24 hours or more, the assessment must be updated within 48 hours of the patient’s return home, or on the ordered resumption date.

What's inside

16 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 (26 TAC §558.294)
  • 5. Time Frames That Apply
  • 6. How the Clock Is Measured
  • 7. When the Time Frame Cannot Be Met
  • 8. Placing Services on Hold and Resuming Care
  • 9. Responsibilities
  • 10. Records and Compliance Monitoring
  • 11. Staff Training
  • 12. References
  • 13. Related Policies and Forms
  • 14. Approval
  • 15. Revision History

An inspector may ask

  • What is your time frame for starting care, and where is it written?
  • This referral came in on a Friday afternoon. When was the initial assessment visit, and was it on time?

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