Section 458.421 - Written Policies and Procedures(A) Written Policies and Procedures. The medical respite provider must have and adhere to written policies and procedures that include: (1) a statement of its philosophy and objectives and of the geographic area served;(2) an intake policy, including eligible referring acute care hospitals and screening individuals for eligibility;(3) admission procedures;(4) service delivery procedures, including, but not limited to, development of members' individualized care plans, case assignment, case review, and discharge planning;(5) a referral policy, including procedures for ensuring coordinated member care;(6) recordkeeping policies, including what information must be included in each record, and procedures to ensure confidentiality;(7) personnel and management policies, including policies for hiring, training, evaluation, supervision, and termination protocol for all staff;(8) conflict of interest policies;(9) managing safety in the medical respite setting, including policies on weapon use and substance use;(10) managing planned and unplanned medical and non-medical leaves of absence;(11) managing urgent and emergent clinical issues;(12) discharge procedures, including when there are leaves of absence and when the member's medical respite service period is ending; and(13) a written procedure for managing, reporting, responding to incidents, including member falls and proactive approaches to prevent future related incidents.Adopted by Mass Register Issue 1538, eff. 1/3/2025.