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Closure, Suspension of Services, Change of Ownership and Records After Closure

Sets the steps when the Agency plans to close, stop a service, suspend admissions, change ownership or change its name: SHPDA notice at least 90 days before a closure and its approval, CMS notice and public notice at least 15 days before a provider agreement ends, help for every patient to move safely to another hospice, the Certificate of Need and Medicare rules on changes of ownership (including the 36-month rule and the moratorium), and how clinical records are kept and found after closure.

Preview: full text with a package
About this policy
Policy number
DC-HSP-GOV-05
Version
1.0
Main rule
D.C. Code §44-406(c)
Library
Washington, DC hospice · 60 policies
Category
Governance
Sections
19

In short

  • If the Agency ever closes or stops a service, every patient keeps care until a new provider takes over.
  • Patients get a written notice and help choosing another hospice.
  • SHPDA must be told at least 90 days before a closure and must approve it.
  • Patient records are kept safely for at least ten years after care ends, even after a closure.

What's inside

19 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 (D.C. Code §44-406(c))
  • 5. Planned Closure or Ending a Service
  • 6. Unplanned Closure or Sudden Loss of Capacity
  • 7. Suspending Admissions
  • 8. Change of Ownership or Control
  • 8.1 Certificate of Need
  • 8.2 Medicare
  • 9. Change of Name
  • 10. Records After Closure
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • If you closed tomorrow, how would each patient’s care continue? Who would you notify, and how far in advance?
  • Have you had a change of ownership or control since your last survey? Show me the SHPDA and CMS filings.

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