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Certificate of Need Conditions and Uncompensated Care

Meets the uncompensated care obligation that comes with the Agency’s Certificate of Need: at least three percent of annual operating expenses (less Medicare and Medicaid reimbursements) in free or reduced-charge care to eligible people, with the required public and posted notices in English and Spanish, written eligibility decisions within 10 business days, an annual report to SHPDA, and the records to prove it.

Preview: full text with a package
About this policy
Policy number
DC-HH-BUS-04
Version
1.0
Main rule
22-B DCMR §4400.2
Library
Washington, DC home health · 58 policies
Category
Business
Sections
20

In short

  • Under DC law the Agency must give some free or reduced-charge care to people who cannot pay.
  • Every person who asks about our services gets a written notice about this help, in English or Spanish.
  • If a patient or family says they cannot pay, give them the notice and tell the office. Never ask them for a deposit.
  • The office decides in writing within ten business days whether the person qualifies.

What's inside

20 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 §4400.2)
  • 5. Setting the Annual Compliance Level
  • 6. Public and Posted Notices
  • 6.1 Notice before each fiscal year
  • 6.2 Posted notice
  • 6.3 Written notice to each person seeking services
  • 7. Who Is Eligible
  • 8. Deciding a Request
  • 9. Annual Report, Deficits, and Complaints
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Show me your posted uncompensated care notice. Is it in English and Spanish, and does it state your eligibility criteria?
  • What was your annual compliance level last fiscal year, and how much uncompensated care did you provide?

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