Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.22 - Hospice Care Programs: Hospice House Requirements
Section 10.07.22.09 - Residential Agreement
Universal Citation: MD Code Reg 10.07.22.09
Current through Register Vol. 51, No. 19, September 20, 2024
A. Patients admitted to the hospice house or their representatives shall sign, before or at the time of admission, a patient agreement that:
(1) Is a clear and complete statement of
commitments agreed to by the parties and the services provided in the hospice
house;
(2) Is accurate, legible,
and communicated in a language understandable to patient and family;
and
(3) Conforms to all applicable
federal, State, and local laws and requirements.
B. The residential agreement shall include, at a minimum:
(1) The services to be provided
by the hospice house;
(2) An
explanation of the hospice house's complaint or grievance procedure;
(3) Procedures to be followed in transferring
the patient to another facility;
(4) The availability of secure storage of
patient's belongings;
(5) The
patient's and family's rights and obligations concerning use of the hospice
house, including common areas;
(6)
Written plan and provisions for continued emergency preparedness
services;
(7) An acknowledgement
that the patient or the patient's representative has reviewed all hospice house
rules, requirements, restrictions, or special conditions that the general
hospice program will impose on the patient; and
(8) Admission and discharge policies and
procedures including:
(a) Those actions,
circumstances or conditions which may result in the patient's discharge from
the hospice house;
(b) The
procedures which the hospice house shall follow if it intends to discharge a
patient without the patient's agreement, thereby terminating the residential
agreement; and
(c) The procedures
which the patient shall follow if the patient wishes to terminate the
residential agreement.
C. The residential agreement shall include financial provisions, which include at a minimum:
(1) Rate structure and payment provisions
covering:
(a) All rates to be charged to the
patient, including but not limited to any non-service related charges;
and
(b) Payment arrangements and
fees, if known, for third-party services not covered by the residential
agreement, but arranged for by either the patient, patient's representative, or
the hospice house; and
(2) Obligations of the hospice house and the
patient, or the patient's representative, as to:
(a) Handling the finances of the
patient;
(b) Arranging and
contracting for services not covered by the patient agreement;
(c) Disposition of the patient's property
upon discharge or death of the patient;
(d) Identification of the persons responsible
for payment of all fees and charges and a clear indication of whether the
person's responsibility is or is not limited to the extent of the patient's
funds;
(e) Fair and reasonable
billing, payment, and credit policies;
(f) The procedures the hospice house will
follow in the event the patient or representative can no longer pay for
services provided for in the patient agreement or for services or care needed
by the patient; and
(g) Terms
governing the refund of any prepaid fees or charges in the event of a patient's
discharge from the hospice house or termination of the patient
agreement.
D. The hospice house shall maintain the patient agreement in the patient's record.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
