Common use of Home Health Agencies Clause in Contracts

Home Health Agencies. If Provider is a home health agency (“HHA”), in addition to the other requirements set forth in the Agreement or this Appendix, the following provisions shall apply. i) Provider shall comply with the federal regulations delineating the conditions of participation that HHAs must meet in order to participate in the Medicaid program. ii) Provider shall supply each Covered Person with the following: a) Written and verbal notice of the Covered Person’s rights and responsibilities as a home health patient as required under 42 CFR §484.50(a); b) Written and verbal notice of Provider’s policy for transfer and discharge as required under 42 CFR §484.50(d), including an explanation in plain language that disruptive, abusive, or uncooperative behaviors could give rise to a “discharge for cause,” and the requirements that must be satisfied by Provider in order for transfer or a discharge to be effectuated; c) Written and verbal notice of Provider’s obligation to accept complaints made by the Covered Person about the care that is (or fails to be) furnished, and of Provider’s obligation to investigate, document, and resolve these complaints (as well as complaints of mistreatment, neglect, or verbal, mental, sexual, and physical abuse, or injuries of unknown source, or misappropriation of the Covered Person’s property by anyone furnishing care on behalf of Provider), as required under 42 CFR §484.50(e); d) An explanation of the scope of the home health services that the Covered Person will be receiving. Afterwards, Provider must obtain the signature of the Covered Person verifying that a Provider staff member has explained the scope of services to the Covered Person. Likewise, Provider must obtain, as required under 42 C.F.R. § 484.50(a)(2), the Covered Person’s or the legal representative’s signature confirming that they received written notice of the Covered Person’s rights and responsibilities as required by Section 4.15(ii)(a). Provider must maintain all signature(s) in their record of the Covered Person.

Appears in 3 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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Home Health Agencies. If Provider is a home health agency (“HHA”), in addition to the other requirements set forth in the Agreement or this Appendix, the following provisions shall apply. i(a) Provider shall comply with the federal regulations delineating the conditions of participation that HHAs must meet in order to participate in the Medicaid program. ii(b) Provider shall supply each Covered Person with the following: a(i) Written and verbal notice of the Covered Person’s rights and responsibilities as a home health patient as required under 42 CFR §484.50(a); b(ii) Written and verbal notice of Provider’s policy for transfer and discharge as required under 42 CFR §484.50(d), including an explanation in plain language that disruptive, abusive, or uncooperative behaviors could give rise to a “discharge for cause,” and the requirements that must be satisfied by Provider in order for transfer or a discharge to be effectuated; c(iii) Written and verbal notice of Provider’s obligation to accept complaints made by the Covered Person about the care that is (or fails to be) furnished, and of Provider’s obligation to investigate, document, and resolve these complaints (as well as complaints of mistreatment, neglect, or verbal, mental, sexual, and physical abuse, or injuries of unknown source, or misappropriation of the Covered Person’s property by anyone furnishing care on behalf of Provider), as required under 42 CFR §484.50(e); d(iv) An explanation of the scope of the home health services that the Covered Person will be receiving. Afterwards, Provider must obtain the signature of the Covered Person verifying that a Provider staff member has explained the scope of services to the Covered Person. Likewise, Provider must obtain, as required under 42 C.F.R. § 484.50(a)(2), the Covered Person’s or the legal representative’s signature confirming that they received written notice of the Covered Person’s rights and responsibilities as required by Section 4.15(ii)(a4.15(b)(i). Provider must maintain all signature(s) in their record of the Covered Person.

Appears in 3 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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