R432-700-15. Termination of Services Policies  


Latest version.
  • (1) The agency may discharge a patient under any of the following circumstances:

    (a) A licensed practitioner signs a discharge statement for termination of services;

    (b) Treatment objectives are met;

    (c) The patient's status changes, which makes treatment objectives unattainable, and new treatment objectives are not an alternative;

    (d) The family situation changes and affects the delivery of services;

    (e) The patient or family is uncooperative in efforts to attain treatment objectives;

    (f) The patient moves from the geographic area served by the agency;

    (g) The physician fails to renew orders as required by the rules for skilled nursing or therapy services, or, the patient changes physician's and the agency cannot obtain orders for continuation of services from the new physician;

    (h) The patient's payment sources are exhausted and the agency is fiscally unable to provide free or part-cost care;

    (i) The agency discontinues a particular service or terminates all services;

    (j) The agency can no longer provide quality care in the place for residence;

    (k) The patient or family requests agency services to be discontinued;

    (l) The patient dies;

    (m) the patient or family is unable or unwilling to provide an environment that ensures safety for the both the patient and provider of service; or

    (n) The patient's payor excludes the agency from participating as a covered provider or refuses to authorize services the agency determines are medically necessary.

    (2) The person who is assigned to supervise and coordinate care for a particular patient must complete a discharge summary when services to the patient are terminated.