Ala. Admin. Code r. 420-5-17-.09
Current through Register Vol. 43, No. 1, October 31, 2024
Section 420-5-17-.09 - Contracted ServicesA provider of a hospice care program may arrange for another person or public agency to furnish a component or components of the hospice care program pursuant to a written contract.
(1) Any contract executed under the paragraph above, including a contract to which paragraph (2) of this rule applies, shall be legally binding on both parties and shall do all of the following: (a) Identify the services to be provided.(b) Stipulate that services may be provided only with the express authorization of the hospice care program.(c) Describe the manner in which the contracted services are coordinated, supervised, and evaluated by the hospice care program.(d) Delineate the role or roles of the hospice care program and the contractor in the admission process, patient and family assessment, and the interdisciplinary team reviews.(e) Stipulate the requirements for documenting that services are furnished in accordance with the contract and the requirements of Section 22-21-20 of the revised Code and this Chapter.(f) Set forth the qualifications of the personnel providing the services.(g) Stipulate that the hospice care program shall provide hospice care orientation and training sufficient to provide competent care to the person who provides the care under the contract.(2) When a provider of a hospice care program arranges for a hospital, a home providing nursing care, or home health agency to furnish a component or components of the hospice care program to its patient, the care shall be provided by a licensed, certified, or accredited hospital, inpatient hospice, home providing nursing care, or home health agency pursuant to a written contract under which: (a) The provider of a hospice care program furnishes to the contractor a copy of the hospice patient's interdisciplinary plan of care which specifies the care that is to be furnished by the contractor.(b) The regimen described in the established plan of care is continued while the hospice patient receives care from the contractor, subject to the patient's needs, and with approval of the coordinator of the interdisciplinary team.(c) All care, treatment, and services furnished by the contractor are entered into the patient's medical record.(d) The designated coordinator of the interdisciplinary team ensures conformance with the established plan of care.(e) The contractor complies with the requirements of these rules.(f) Those hospices not providing inpatient care shall encourage any hospital contracting for inpatient care to offer temporary limited privileges to the hospice patient's attending physician while the hospice patient is receiving inpatient care from the hospital.(3) The hospice care program shall assure the continuity of patient and family care in the home, outpatient, and inpatient settings.(4) The hospice care program shall retain professional management responsibility for contracted services, shall ensure that those services are furnished in a safe and effective manner by persons meeting the qualifications prescribed by this Chapter, and in accordance with the patient's plan of care and the other requirements of this Chapter.(5) The hospice care program shall retain responsibility for payment for services provided by a contractor. Author: Jimmy D. Prince
Ala. Admin. Code r. 420-5-17-.09
New Rule: Filed August 20, 1993; effective September 23, 1993. Repealed and New Rule: Filed June 14, 2000; effective July 19, 2000.Statutory Authority:Codeof Ala. 1975, §§ 22-21-20, etseq.