Mich. Admin. Code R. 325.45349 - Contractual services
Rule 349.
(1) A
hospice shall routinely provide all nursing, social work, and counseling
services directly by hospice employees, except as provided in subrule (2) of
this rule.
(2) A hospice may
contract with other health care providers or appropriate parties for nursing,
social work, and counseling services to supplement hospice employees to meet
the needs of patients under extraordinary or other non-routine
circumstances.
(3) A hospice may
contract with other health care providers or appropriate parties for the
provision of physician services and general services other than nursing, social
work, and counseling services when the hospice does not have sufficient
qualified staff or available adequate equipment to render such services
directly.
(4) The department may
provide an exception to subrules (1), (2) and (3) of this rule for a hospice
that meets all of the following:
(a) The
hospice requests an exception to contract for nursing services due to a
shortage of nurses in the geographic area served by the hospice.
(b) The hospice is in a non-urbanized
area.
(c) The hospice provides
evidence to the department that it has made a good faith effort to hire a
sufficient number of nurses to provide services.
(5) Contracts for shared services must be
written and delineate the authority and responsibility of the contracting
parties. Contracts with providers must maintain the responsibility of the
hospice for coordinating and administering the hospice program.
(6) The hospice administrator shall maintain
responsibility for coordinating and administering the contracted services of
the hospice.
(7) Any and all
personnel provided to the hospice under the terms of contracted services must
be licensed or credentialed as required by law.
(8) All contracts must include financial
arrangements and charges, including donated services.
(9) All contracts must state the availability
of service.
(10) A contracted
service must not absolve the hospice from responsibility for the quality,
availability, documentation, or overall coordination of patient and family unit
care or responsibility for compliance with any federal, state, or local law or
rules and regulations.
(11) All
contracts must be reviewed and revised if necessary.
(12) All contracts must be signed and dated
by the hospice administrator or designee and the authorized official of the
agency providing the contractual service.
(13) All contracts must state that the
contractor will provide services to the patient in accordance with the patient
care plan developed by the hospice.
(14) Employees of an agency providing a
contractual service shall not seek or accept reimbursement in addition to that
due the agency for the actual service delivered.
(15) All contracts must prohibit the sharing
of fees between a referring agency or individual and the
hospice.
Notes
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