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Client Service Agreement

Sets out the written service agreement every client must have before services start: each element 22-B DCMR §9911.1 requires (services, schedule, accompaniment and transportation, emergency medical response, conditions for discharge and appeal, missed visits, financial arrangements, the client representative, emergency contacts and the DC Health Complaint Hotline), who signs it and when, and how it is kept up to date.

Preview: full text with a package
About this policy
Policy number
DC-HC-ADM-03
Version
1.0
Main rule
22-B DCMR §9911.1
Library
Washington, DC home care · 50 policies
Category
Service delivery
Sections
18

In short

  • Every client has a written service agreement, signed by the client or representative and the Agency before services start.
  • The agreement lists the services, the days and hours, what happens if a visit cannot be kept, the charges, and how to reach the Agency at any time.
  • It also gives the DC Health Complaint Hotline number, (202) 442-4779.
  • Provide only the services in the agreement and the service plan. Pass any request for a change to the office.
  • Never accept payment from a client. All payments go to the Agency.

What's inside

18 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 (22-B DCMR §9911.1)
  • 5. What the Agreement Contains
  • 6. Preparing the Agreement
  • 7. Conditions for Discharge and Appeal
  • 8. Signing Before Services Start
  • 9. Keeping the Agreement Up to Date
  • 10. Following the Agreement
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Show me this client's service agreement. When was it signed, and when did services start?
  • Where in the agreement are the procedure for a missed visit and the procedures for emergency medical response?

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