Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 558 - LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES
Subchapter H - STANDARDS SPECIFIC TO AGENCIES LICENSED TO PROVIDE HOSPICE SERVICES
Division 4 - HOSPICE CORE SERVICES
Section 558.830 - Provision of Hospice Core Services

Current through Reg. 49, No. 38; September 20, 2024

(a) A hospice must routinely provide substantially all core services directly by hospice employees in a manner consistent with accepted standards of practice. A hospice must provide the following core services:

(1) physician services;

(2) nursing services;

(3) medical social services; and

(4) counseling services.

(b) A hospice may contract for physician services as specified in §558.831 of this division (relating to Hospice Physician Services).

(c) A hospice may use contracted staff if necessary to supplement hospice employees to meet the needs of clients under extraordinary or other non-routine circumstances. A Medicare-certified hospice may also enter into a written contract with another Medicare-certified hospice to provide core services if necessary to supplement hospice employees to meet the needs of a client. The contracting hospice must maintain professional management responsibility for the services provided in accordance with § 558.854 of this subchapter (relating to Hospice Professional Management Responsibility). Circumstances under which the hospice may enter into a written contract for the provision of core services include:

(1) unanticipated periods of high client loads;

(2) staffing shortages due to illness or other short-term temporary staffing situations that could interrupt client care; and

(3) temporary travel of a client outside of the hospice's service area.

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