Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 30 - Division of Regulation and Licensure › Chapter 35 - Hospices › Section 19 CSR 30-35.030 - State Certification Management

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the state activities
				  related to the inspection, complaint investigation, and issuance of the
				  certificate for state-certified hospice programs.
(1) Initial Application. When an initial
				application and initial fee of $500 for state hospice certification is
				received, the applicant shall provide the Department of Health (DOH) with
				sufficient evidence that the hospice has established appropriate policies and
				procedures for providing hospice services according to these rules. After
				review of these policies and procedures, and verification the hospice has the
				capability of providing hospice services by qualified persons, the DOH shall
				issue a temporary operating permit not to exceed 90 days. After the hospice has
				been in operation for 90 days, or sooner if possible, the DOH shall survey the
				hospice for compliance with these rules. The hospice shall have provided care
				to at least three patients for a period of at least three weeks for the purpose
				of the initial survey review. The DOH shall conduct the unannounced initial
				survey after the applicant indicates a readiness for that survey. The DOH may
				extend the temporary approved certificate if the hospice can show good intent
				to accomplish the preparations for initial survey.
(2) The Annual Survey Inspection. The hospice
				management shall allow representatives of the Department of Health to survey
				the hospice to determine continued eligibility for hospice state certification.
				An annual renewal application and annual renewal fee per sliding scale must be
				submitted by every hospice prior to the expiration of the previous certificate.
				Sliding scale annual renewal fees will be based on annual patient admissions
				and are as follows: 0-50 admissions, $250; 51-150 admissions, $400; 151-250
				admissions, $550; and 251+ admissions, $750.
(A) The survey may include visits to the
				place of residence of any appropriate patient or family. After completion of
				the DOH survey, a written survey deficiency report shall be prepared showing
				the findings with respect to compliance or noncompliance with the provisions
				and the standards established in this chapter. The list of deficiencies found
				shall be served upon the hospice within 15 business days following the survey
				process. The list of deficiencies shall specifically state the statute or rule
				which the hospice is alleged to have violated. The hospice shall inform the DOH
				of the time necessary for compliance not to exceed 60 days from the exit date
				of the survey and within ten business days shall file a plan of correction with
				the DOH. A follow-up by the DOH to assure implementation of the plan of
				correction shall occur within 60 days of the hospice's prior approved plan of
				correction date.
(B) Any person
				wishing to make a complaint against a hospice certified under the provisions of
				sections 197.250-197.280, RSMo, may register the complaint in writing or
				verbally with the DOH setting forth the details and facts supporting the
				complaint. The DOH shall investigate complaints received. Any complaint related
				to abuse, neglect or exploitation as described in section
				197.266,
				RSMo shall be reported according to the requirements of that section.
(C) In addition to the survey inspection
				required for initial certification or certification renewal the DOH may make
				other survey inspections and/or complaint investigations during normal business
				hours. Each hospice shall allow the DOH or its authorized representatives to
				enter upon its premises as needed for the purpose of conducting a survey
				inspection and/or complaint investigation.