Ala. Admin. Code r. 560-X-51-.02
Current through Register Vol. 42, No. 12, September 30, 2024
Section 560-X-51-.02 - Definitions(1)Hospice means a public agency or private organization or a subdivision of either that is primarily engaged in providing care to terminally ill individuals, meets the Medicare conditions of participation for hospices and has a valid Medicaid provider agreement.(2)Attending physician means a doctor of medicine or osteopathy who is identified by the individual at the time he or she elects to receive hospice care as having the most significant role in the determination and delivery of the individual's medical care.(3)Election statement means a written statement electing hospice care filed by a recipient, or his representative, with a hospice.(4) An election period is a predetermined timeframe for which an individual may elect to receive Medicaid coverage of hospice care during the individual's lifetime. Election periods consist of: (a) An initial 90-day period.(b) A subsequent 90-day period.(c) A subsequent 60-day period.(d) Unlimited subsequent extensions of 60-day periods during the individual's lifetime.(5)Employee means an employee of the hospice or, if the hospice is a subdivision of an agency or organization, an employee of the agency or organization who is appropriately trained and assigned to the hospice unit. "Employee" also refers to a volunteer under the jurisdiction of the hospice.(6)Interdisciplinary team means a group of persons employed by the hospice which includes at least: (d) One pastoral or other counselor.(7)Plan of care means a written plan of care established by the attending physician, the medical director, or physician designee and interdisciplinary team prior to providing care.(8)Terminally ill means that the individual has a medical prognosis that his or her life expectancy is six months or less if the illness runs its normal course.(9)Representative means a person who, because of the terminally ill individual's mental or physical incapacity, is authorized in accordance with state law to elect or revoke an election for hospice care or terminate medical care on behalf of that individual.Ala. Admin. Code r. 560-X-51-.02
Emergency Rule effective October 1, 1990. Permanent Rule effective February 13, 1991. Emergency Rule effective May 15, 1991. Amended: effective August 14, 1991. Amended: Filed April 11, 2006; effective May 16, 2006. Amended: Filed August 11, 2008; effective September 15, 2008.Author: Hattie M. Nettles, Associate Director, LTC Policy Advisory Unit
Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §§ 418.3, 418.68 ; State Plan.