i Section Article 1 - Definitions Page Section Definitions Page 74600... Home Health Agency... 1 484.2... HHA... 1 74601... Public Agency... 1 484.2... Public Agency... 1 74603... Private Agency... 1 484.2... 484.2... Nonprofit Agency... Proprietary Agency... 1 2 74605... Subdivision... 2 484.2... Subdivision... 2 74607... Parent and Primary Home Health Agency... 2 484.2... 484.2... Parent Home Health Agency... Primary Home Health Agency... 2 2 74609... Branch Office... 2 484.2... Branch Office... 2... No Title 22 Equivalent...... 484.2... Subunit... 3... No Title 22 Equivalent...... 484.2... Bylaws or Equivalent... 3... No Title 22 Equivalent...... 484.2... Clinical Note... 3... No Title 22 Equivalent...... 484.2... Progress Note... 3... No Title 22 Equivalent...... 484.2... Summary Report... 3... No Title 22 Equivalent...... 484.2... Supervision... 3 484.4... Personnel Qualifications... 4 74613... Administrator... 4 484.4... Administrator, Home Health Agency... 4 74615... Audiologist... 4 484.4... Audiologist... 4 74617... Dentist... 4 74619... Department... 4 74621... Director... 4 74623... Dietitian... 4 74624... Home Health Aide... 5 484.4... Home Health Aide... 5 74625... Home Health Services... 5 74627... License... 5 74629... Licensee... 5 74631... Licensed Vocational Nurse... 6 484.4... Practical (Vocational) Nurse... 6 74633... Occupational Therapist... 6 484.4... Occupational Therapist... 6 74635... Occupational Therapist Assistant... 6 484.4... Occupational Therapy Assistant... 6 74639... Patient... 7 74641... Physical Therapist... 7 484.4... Physical Therapist... 7 74643... Physical Therapist Assistant... 8 484.4... Physical Therapy Assistant... 8 74645... Physician... 8 484.4... Physician... 8 74647... Podiatrist... 8 74649... Public Health Nurse... 8 484.4... Public Health Nurse... 8
Section Article 1 - Definitions Continued Page Section Personnel Qualifications Continued Page 74651... Registered Nurse... 9 484.4... Registered Nurse... 9 74652... Skilled Nursing Services Criteria for... No Medicare Equivalent...... Licensure of Home Health Agencies... 9 74653... Social Worker... 10 484.4... Social Worker... 10 74655... Social Work Assistant... 10 484.4... Social Work Assistant... 10 74657... Speech Pathologist... 10 484.4... Speech-Language Pathologist... 10 Section Article 2 - License Page Section Condition/Standard Page 484.12... CONDITION: Compliance with Federal, State, and Local Laws, Disclosure and Ownership Information, and Accepted Professional Standards and Principles... 11 74659... License Required... 11 484.12(a)... Standard: Compliance with Federal, State and Local Laws and Regulations... 11 74661... Application for License... 11 74663... Special Conditions for License... 12 74664... Operation of a Home Health Agency Across State Lines... 12 74665... Disclosure Clause... 13 484.12(b)... Standard: Disclosure of Ownership and Management Information... 13 74667... Report of Changes... 13 484.12(b)... See Above Standard... 13 74669... Fee... 14 74671... Issuance, Denial, Expiration and Renewal... 15 74673... Transferability... 16 74675... Separate Licenses... 16 74677... Availability of License... 17 74679... Voluntary Suspension of License... 17 74681... Voluntary Cancellation of License... 18 74683... Revocation or Involuntary Suspension of License... 18 74685... Pursuing Disciplinary Action to Completion... 18 ii
Section Article 2 - License Continued Page Section Condition/Standard Continued Page 74687... Reinstatement of Revoked or Suspended License... 19 74689... Program Flexibility... 19 Section Article 3 - Services Page Section Condition/Standard Page 484.12(c)... Standard: Compliance with Accepted Professional Standards and Principles... 20 74693... Preventive, Treatment and Rehabilitative Services... 20 484.14(a)... 484.14(g) Standard: Services Furnished... Standard: Coordination of Patient Services 20 20 74695... Requirements for Acceptance of Patients... 21 484.18... CONDITION: Acceptance of Patients, Plan of Care, and Medical Supervision... 21 74697... Plan of Treatment; Plan of Care; Plan for Personal Care Services... 21 484.18(a)... 484.18(b)... Standard: Plan of Care... Standard: Periodic Review of Plan of Care. 21 21 484.55... CONDITION: Comprehensive Assessment of Patients... 22 484.55(a)... Standard: Initial Assessment Visit... 22 484.55(b)... Standard: Completion of the Comprehensive Assessment... 23 484.55(c)... Drug Regimen Review... 23 484.55(d)... Update of the Comprehensive Assessment.. 23 484.55(e)... Incorporation of OASIS Data Items... 24 484.20... CONDITION: Reporting OASIS Information... 24 484.20(a)... Standard: Encoding OASIS Data... 24 484.20(b)... Standard: Accuracy of Encoded OASIS Data... 24 484.20(c)... Standard: Transmittal of OASIS Data... 24 484.20(d)... Standard: Data Format... 25 74701... Orders for Medication and Treatment... 25 484.18(c)... Standard: Conformance with Physician s Orders... 25 74703... Director of Patient Care Services... 26 484.14(d)... Standard: Supervising Physician or Registered Nurse... 26 iii
Section Article 3 - Services Continued Page Section Condition/Standard Continued Page 74705... Nurse Supervisor... 27 74707... Skilled Nursing Services... 28 484.30... CONDITION: Skilled Nursing Services... 28 484.30(a)... Standard: Duties of the Registered Nurse... 28 484.30(b)... Standard: Duties of the Licensed Practical Nurse... 28... No Title 22 Equivalent...... 484.14(j)... Standard: Laboratory Services... 29 74709... Home Health Aide/Personal Care Services Supervision... 29 484.36(d)... 484.32(a)... Standard: Supervision... Standard: Supervision of Physical Therapy Assistant and Occupational Therapy Assistant... 29 31... No Title 22 Equivalent...... 484.36(e)... Personal Care Attendant: Evaluation 74710... Personal Care/Home Health Aide Services... 32 484.36... 484.36(c)... 74711... Therapy Services... 33 484.32... 484.32(b)... Requirements... 32 CONDITION: Home Health Aide Services 32 Standard: Assignment and Duties of the Home Health Aide... 32 CONDITION: Therapy Services... Standard: Supervision of Speech Therapy Services... 33 74713... Medical Social Services... 34 484.34... CONDITION: Medical Social Services... 34 74715... Diet Counseling Services... 34... No Title 22 Equivalent...... 484.38... CONDITION: Qualifying to Furnish Outpatient Physical or Speech Pathology Services... 35 Section Article 4 - Administration Page Section Condition/Standard Page 74717... Governing Body... 36 484.14(b)... Standard: Governing Body... 36 74718... Administrator... 36 484.14(c)... Standard: Administrator... 36 74719... Services Arranged By Agreement... 37 484.14(h)... Standard: Services Under Arrangements... 37 484.11... CONDITION: Release of Patient Identifiable OASIS Information... 37 484.14(f)... Standard: Personnel Under Hourly or Per Visit Contracts... 37 33 iv
Section Article 4 - Administration Continued Page Section Condition/Standard Continued Page... No Title 22 Equivalent...... 484.14(i)... Standard: Institutional Planning... 38 74721... Written Administrative Policies... 39 484.14... 484.14(e)... CONDITION: Organization, Services, Administration... Standard: Personnel Policies... 39 40 74723... Employee s Health Assessments and Health Records... 40 74725... Reporting of Communicable Disease... 41 74727... Reporting of Outbreaks... 42 74729... Annual Reports... 42 74731... Patients Health Records Availability... 42 484.48(b)... 484.48(a)... 484.10(d)... Standard: Protection of Records... Standard: Retention of Records... Standard: Confidentiality of Medical Records... 42 42 43 74735... Patient Health Records... 44 484.48... CONDITION: Clinical Records... 44 74742... Quality Management... 45 484.52(b)... 45 484.52... 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... 46 484.52(a)... 46 484.16... 46 484.16(a)... 47 74743... Patient Rights... 47 484.10... CONDITION: Patient Rights... 47 484.10(a)... Standard: Notice of Rights... 47 484.10(b)... Standard: Exercise of Rights and Respect for Property and Person... 47 484.10(c)... Standard: Right to be Informed and to Participate in Planning Care and Treatment 48 484.10(d)... Standard: Confidentiality of Medical Records... 49 484.10(e)... Standard: Patient Liability for Payment... 49 v
Section Article 4 - Administration Continued Page Section Condition/Standard Continued Page 484.10(f)... Standard: Home Health Hotline... 49 74744... Plans of Correction... 50 Section Article 5 - Qualifications for Home Page Section Condition/Standard Page Health Aide Certification 74745... Home Health Aide Certification... 51 484.4... Repeat of δ484.4 Definition for Home Health Aide... 51 74747... Home Health Aide Training... 51 484.36(a)... Standard: Home Health Aide Training... 51... No Title 22 Equivalent...... 484.36(a)... Standard: Home Health Aide Training Continued; (2) Conduct of Training; (i) 53 Organizations...... No Title 22 Equivalent...... 484.36(b)... Standard: Competency Evaluation and In- 74749... Issuance, Denial, Revocation or Suspension of Home Health Aide Certificate... 56 Service Training... 54 vi