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VNSNY PROVIDER SERVICES

POLICY

POLICY TITLE: FIRST VISIT
Number: CP.103
Applies To: Certified Home Health Agency
Policy Section: Home Health Aides
Page 3 of 4

1. Skilled Clinician (RN or therapist) determines patient care needs and level
of assistances needed with personal care (ADLs, IADLs) and obtains
physician orders for the HHA services.
2. The first HHA visit is to be provided as requested on the plan of care
contingent upon entry of authorization.
3. If authorization for the HHA services is denied, Patient / family are to be
informed that services may be provided if they wish to pay privately or be
considered for charity care

See VNSNY Home Care Policy entitled Charitable Care Policy.

REFERENCES:
Community Health Accreditation Program (2018). CHAP Standards of
Excellence. New York.

Centers for Medicare & Medicaid Services, Department of Health and Human
Services (2018). Conditions of Participation, CFR 42, Part 484 – Home Health
Services
https://www.cms.gov/Medicare/Provider-Enrollment-and-
Certification/SurveyCertificationGenInfo/Downloads/QSO18-25-HHA.pdf

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, Section 763.5.

Link to Article 7 Part 736:
https://govt.westlaw.com/nycrr/Document/I4ffdd508cd1711dda432a117e6e0f345
?viewType=FullText&originationContext=documenttoc&transitionType=Categ
oryPageItem&contextData=(sc.Default)&bhcp=1

STANDARDS: CMS COP 484.55, NYS DOH 763.2, 763.5, CHAP: CPC.4.I.M1

SEE ALSO:
 Policy - Admission to Home Care

Policy Owner: VNSNY Provider Services
Reviewed: VNSNY Provider Services Quality & Patient Safety
Approved: SVP, Intake and Patient Care Services
Revised: 9/30/14, 12/31/15 04/18/2016, 10/11/2016, 03/17/2017, 12/2018