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1 i Section Article 1 - Definitions Page Section Definitions Page Home Health Agency HHA Public Agency Public Agency Private Agency Nonprofit Agency... Proprietary Agency Subdivision Subdivision Parent and Primary Home Health Agency Parent Home Health Agency... Primary Home Health Agency Branch Office Branch Office No Title 22 Equivalent Subunit No Title 22 Equivalent Bylaws or Equivalent No Title 22 Equivalent Clinical Note No Title 22 Equivalent Progress Note No Title 22 Equivalent Summary Report No Title 22 Equivalent Supervision Personnel Qualifications Administrator Administrator, Home Health Agency Audiologist Audiologist Dentist Department Director Dietitian Home Health Aide Home Health Aide Home Health Services License Licensee Licensed Vocational Nurse Practical (Vocational) Nurse Occupational Therapist Occupational Therapist Occupational Therapist Assistant Occupational Therapy Assistant Patient Physical Therapist Physical Therapist Physical Therapist Assistant Physical Therapy Assistant Physician Physician Podiatrist Public Health Nurse Public Health Nurse... 8

2 Section Article 1 - Definitions Continued Page Section Personnel Qualifications Continued Page Registered Nurse Registered Nurse Skilled Nursing Services Criteria for... No Medicare Equivalent Licensure of Home Health Agencies Social Worker Social Worker Social Work Assistant Social Work Assistant Speech Pathologist Speech-Language Pathologist Section Article 2 - License Page Section Condition/Standard Page CONDITION: Compliance with Federal, State, and Local Laws, Disclosure and Ownership Information, and Accepted Professional Standards and Principles License Required (a)... Standard: Compliance with Federal, State and Local Laws and Regulations Application for License Special Conditions for License Operation of a Home Health Agency Across State Lines Disclosure Clause (b)... Standard: Disclosure of Ownership and Management Information Report of Changes (b)... See Above Standard Fee Issuance, Denial, Expiration and Renewal Transferability Separate Licenses Availability of License Voluntary Suspension of License Voluntary Cancellation of License Revocation or Involuntary Suspension of License Pursuing Disciplinary Action to Completion ii

3 Section Article 2 - License Continued Page Section Condition/Standard Continued Page Reinstatement of Revoked or Suspended License Program Flexibility Section Article 3 - Services Page Section Condition/Standard Page (c)... Standard: Compliance with Accepted Professional Standards and Principles Preventive, Treatment and Rehabilitative Services (a) (g) Standard: Services Furnished... Standard: Coordination of Patient Services Requirements for Acceptance of Patients CONDITION: Acceptance of Patients, Plan of Care, and Medical Supervision Plan of Treatment; Plan of Care; Plan for Personal Care Services (a) (b)... Standard: Plan of Care... Standard: Periodic Review of Plan of Care CONDITION: Comprehensive Assessment of Patients (a)... Standard: Initial Assessment Visit (b)... Standard: Completion of the Comprehensive Assessment (c)... Drug Regimen Review (d)... Update of the Comprehensive Assessment (e)... Incorporation of OASIS Data Items CONDITION: Reporting OASIS Information (a)... Standard: Encoding OASIS Data (b)... Standard: Accuracy of Encoded OASIS Data (c)... Standard: Transmittal of OASIS Data (d)... Standard: Data Format Orders for Medication and Treatment (c)... Standard: Conformance with Physician s Orders Director of Patient Care Services (d)... Standard: Supervising Physician or Registered Nurse iii

4 Section Article 3 - Services Continued Page Section Condition/Standard Continued Page Nurse Supervisor Skilled Nursing Services CONDITION: Skilled Nursing Services (a)... Standard: Duties of the Registered Nurse (b)... Standard: Duties of the Licensed Practical Nurse No Title 22 Equivalent (j)... Standard: Laboratory Services Home Health Aide/Personal Care Services Supervision (d) (a)... Standard: Supervision... Standard: Supervision of Physical Therapy Assistant and Occupational Therapy Assistant No Title 22 Equivalent (e)... Personal Care Attendant: Evaluation Personal Care/Home Health Aide Services (c) Therapy Services (b)... Requirements CONDITION: Home Health Aide Services 32 Standard: Assignment and Duties of the Home Health Aide CONDITION: Therapy Services... Standard: Supervision of Speech Therapy Services Medical Social Services CONDITION: Medical Social Services Diet Counseling Services No Title 22 Equivalent CONDITION: Qualifying to Furnish Outpatient Physical or Speech Pathology Services Section Article 4 - Administration Page Section Condition/Standard Page Governing Body (b)... Standard: Governing Body Administrator (c)... Standard: Administrator Services Arranged By Agreement (h)... Standard: Services Under Arrangements CONDITION: Release of Patient Identifiable OASIS Information (f)... Standard: Personnel Under Hourly or Per Visit Contracts iv

5 Section Article 4 - Administration Continued Page Section Condition/Standard Continued Page... No Title 22 Equivalent (i)... Standard: Institutional Planning Written Administrative Policies (e)... CONDITION: Organization, Services, Administration... Standard: Personnel Policies Employee s Health Assessments and Health Records Reporting of Communicable Disease Reporting of Outbreaks Annual Reports Patients Health Records Availability (b) (a) (d)... Standard: Protection of Records... Standard: Retention of Records... Standard: Confidentiality of Medical Records Patient Health Records CONDITION: Clinical Records Quality Management (b) Standard: Clinical Record Review... CONDITION: Evaluation of the Agency s Program... Standard: Policy and Administrative Review... CONDITION: Group of Professional Personnel... Standard: Advisory and Evaluation Function (a) (a) Patient Rights CONDITION: Patient Rights (a)... Standard: Notice of Rights (b)... Standard: Exercise of Rights and Respect for Property and Person (c)... Standard: Right to be Informed and to Participate in Planning Care and Treatment (d)... Standard: Confidentiality of Medical Records (e)... Standard: Patient Liability for Payment v

6 Section Article 4 - Administration Continued Page Section Condition/Standard Continued Page (f)... Standard: Home Health Hotline Plans of Correction Section Article 5 - Qualifications for Home Page Section Condition/Standard Page Health Aide Certification Home Health Aide Certification Repeat of δ484.4 Definition for Home Health Aide Home Health Aide Training (a)... Standard: Home Health Aide Training No Title 22 Equivalent (a)... Standard: Home Health Aide Training Continued; (2) Conduct of Training; (i) 53 Organizations No Title 22 Equivalent (b)... Standard: Competency Evaluation and In Issuance, Denial, Revocation or Suspension of Home Health Aide Certificate Service Training vi

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