(A) Each hospice care program shall provide or arrange for the provision of short-term inpatient care to patients who require it for pain control, symptom management, or respite care. The program may operate its own inpatient facility or may contract with one or more other persons or public agencies that operate inpatient facilities for provision of inpatient care. The inpatient facility or facilities that the program uses to provide inpatient care shall be licensed, certified, or accredited in accordance with applicable Ohio law and, in addition, shall meet the requirements of rules 3701-19-25 and 3701-19-26 of the Administrative Code.
Interpretive guidelines: the type of inpatient setting selected for a particular episode shall depend on the needs of the patient. The program shall not place patients in an inpatient facility for the convenience of the program.
(B) Inpatient care for pain control and symptom management shall be provided in a hospice inpatient facility, hospital or a skilled nursing facility. Any such facility used by a hospice care program shall be certified under Title XVIII of the Social Security Act, 49 Stat. 620 (1935), 42 U.S.C. 301 , as amended, accredited by an organization that the United States centers for medicare and medicaid services (CMS) has given deeming authority.
(C) Inpatient care for respite purposes shall be provided:
(1) In a hospice inpatient facility, a hospital, a skilled nursing facility or nursing facility certified under Title XVIII or XIX of the Social Security Act, or a nursing home or residential care facility licensed under Chapter 3721. of the Revised Code; and
(2) Only on an occasional basis and not for more than seven consecutive days unless further limited by payor.
R.C. 119.032 review dates: 05/19/2009 and 08/15/2014
Promulgated Under: 119.03
Statutory Authority: 3712.03
Rule Amplifies: 3712.01 , 3712.04 , 3712.05 , 3712.06
Prior Effective Dates: 12/31/1990, 10/17/99