Conn. Agencies Regs. § 17b-262-837

Current through December 27, 2024
Section 17b-262-837 - Discharge from hospice
(a) The provider may discharge a client if:
(1) the client moves out of the provider's service area or transfers to another hospice;
(2) the client is no longer terminally ill;
(3) the client revokes the hospice benefit;
(4) the client dies; or
(5) the provider determines that there is just cause because the client or other person living with the client is disruptive, abusive or uncooperative to the extent that delivery of care to the client or the ability of the hospice to operate effectively is seriously impaired. A discharge for just cause shall meet the criteria and follow the process described in 42 CFR 418.26(a)(3).
(b) No client shall be discharged for just cause or if he or she is considered no longer terminally ill without a review by the department. When the hospice advises the client that discharge is being considered either for good cause or because the physician believes the client is no longer terminally ill, a copy of that written communication shall be sent to the department and the attending physician.
(c) The hospice shall obtain a written physician discharge order consistent with 42 CFR 418(b) before discharging a client for any reason other than death.
(d) Upon discharge the client is no longer covered for hospice care for that election period and resumes the Medicaid benefit that had been waived unless the client is immediately transferred to another hospice. As long as the client is still eligible, he or she may re-elect the hospice benefit immediately and by so doing shall enter the next election period.
(e) The provider shall have a discharge planning process in place that is consistent with 42 CFR 418.26(d).

Conn. Agencies Regs. § 17b-262-837

Adopted effective July 7, 2009