Coordination of Services, Interagency Coordination, and Summary Reports to the Physician
Sets the Agency’s written policies for documenting how different services are coordinated, inside the Agency and with other agencies, through written communication, case conferences, and interagency agreements; sets the progress notes, summary notes, and summary reports to the physician required every 30 and 62 calendar days; and sets what the Agency tells DHCF about DC Medicaid personal care aide beneficiaries.
About this policy
- Policy number
- DC-HH-CC-01
- Version
- 1.0
- Main rule
- 22-B DCMR §3916.2
- Library
- Washington, DC home health · 58 policies
- Category
- Service delivery
- Sections
- 18
In short
- Each patient has a case manager who coordinates care inside the Agency and with other agencies.
- Record every visit promptly and tell the case manager the same day about any change, refusal, or concern.
- Nurses write progress notes at least every 30 calendar days and summary notes at least every 62 calendar days.
- A summary report on skilled services goes to the physician at least every 62 calendar days.
- Share information with other agencies only with the patient’s consent, and write down what was shared.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (22-B DCMR §3916.2)
- 5. Who Coordinates
- 6. Communication Within the Agency
- 7. Coordination with Other Agencies and Providers
- 8. Communication with the Physician
- 9. Required Notes and Reports
- 10. What the Agency Tells DHCF
- 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
- This patient receives nursing and physical therapy. Show me the evidence that the two services are coordinated.
- Show me the summary report you sent the physician after the last 62-day review, and when it was sent.
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