Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.106 - HEALTH CARE FACILITIES
Subchapter 37.106.1 - Certificate of Need
Rule 37.106.140 - ANNUAL REPORTS BY HOME HEALTH AGENCIES
Universal Citation: MT Admin Rules 37.106.140
Current through Register Vol. 18, September 20, 2024
(1) Every home health agency shall submit an annual report to the department on a form provided by the department and no later than the deadline specified on the form. The report must be signed by the administrator of the agency and must include whichever of the following information is requested on the form:
(a)
whether the agency has medicare certification, and if so, the term of such
certification;
(b) the agency's
reporting period, and whether the agency was in operation for a full 12 months
at the end of the reporting period;
(c) a discussion of the organizational
aspects of the project, including the following information:
(i) the type of organization or entity
responsible for the day-to-day operation of the agency (e.g., state, county,
city, federal, hospital district, church related, nonprofit corporation,
individual, partnership, business corporation);
(ii) whether the home health agency is owned
by the same organization that controls it. If not, the name and type of
organization that owns the agency;
(iii) any changes in the ownership, board of
directors or articles of incorporation of the agency during the past
year;
(iv) the name of the current
chairman of the board of directors of the agency;
(v) if the controlling organization has
placed responsibility for the administration of the agency with another
organization, the name and type of organization that manages the facility. A
copy of the latest management agreement must be provided;
(vi) if the agency is operated as a part of a
multi-facility system (e.g., medical center, chain of hospitals owned by a
religious order, etc.) the name and address of the parent
organization;
(d) a
listing of specific services provided by the agency, and the number of people
served and number of visits made for each service;
(e) a description of the geographic area
served by the agency;
(f) the
number of persons served by the agency and the number of new cases acquired by
the agency during the reporting period;
(g) financial data, including:
(i) payroll and non-payroll
expenses;
(ii) closing date of
financial statement;
(iii) sources
of operating revenue, indicating percentage received from medicare, medicaid,
private pay, insurance, grants, contributions, other;
(h) staff information, including number of
full, part-time and contracted registered and licensed professional nurses,
home health aids, student nurses, and others;
(i) the name of the person to contact should
the department have questions regarding the information on the
report.
Sec. 2-4-201, 50-5-103 and 50-5-302, MCA; IMP, Sec. 50-5-106 and 50-5-302, MCA;
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