Page 77 - Business Development Orientation Binder

Applies to: VNSNY Certified Home Health Agency
Service: VNSNY Certified Home Health Agency
Procedure Section: Provider Service Administration
Number: CP.181
Page 7 of 8

from the local Protective Services for Adults program in accordance agency
Policy: Adult Protective Services

a. If the patient appears to be eligible for such services, then VNSNY staff
MUST notify the referring physician, and a referral to APS may be made
based on the patient’s circumstances. Such referral shall indicate the
patient's ongoing care needs and the reason for the decision not to admit.
See CP.189 Procedure - Adult Protective Services.
b. VNSNY staff must document in the medical records that referral was
made including the provided referral reference #.
c. If the local Protective Services for Adults program accepts the referral,
takes action to address the problems preventing admission and notifies
the agency that such problems have been resolved, the agency shall
reassess the patient to determine whether admission has become
appropriate or remains inappropriate.

5. Any patient who is assessed as inappropriate for agency services shall be
assisted by the agency, in collaboration with the discharge planner, the local
Social Service Department and other case management entity, as appropriate,
with obtaining the services of an alternate provider, if needed, and the patient's
authorized practitioner shall be so notified.

6. Patient disposition and physician notification must be documented in the medical
records.

REFERENCES:

Community Health Accreditation Program (2018). CHAP Standards of Excellence.
New York: the author.
Centers for Medicare & Medicaid Services, Department of Health and Human Services
(2018). Conditions of Participation, CFR 42, Part 484 – Home Health Services.
Baltimore MD: Home Health Agency Interpretive Guidelines

New York State Department of Health (2003). Title 10 – Rules and Regulations New
York State Department of Health: Article 7 – Certified Home Health Agencies. Section
763.2 Title 10 - Rules and Regulations - New York State Department of Health

Responsibility: Quality Management Services-Homecare
Procedure date:
Revised: 06/2015, 12/2016, 12/2017, 12/2018
Approval: Senior Vice President, Patient Care Service