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10.07.10.00.htm 10.07.10.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 07 HOSPITALS Chapter 10 Home Health Agencies Authority: Health-General Article, §19-404, Annotated Code of Maryland
10.07.10.01.htm 10.07.10.01. 01 Purpose.. The purpose of these regulations is:. A. To promote the interests and general well-being of all patients of home health agencies providing service within the State;B. To protect those interests by a public declaration of support for a patient's bill of rights; and. C. To assure that the treatment of patients is, at all times, fully consistent with the provisions of this Act.
10.07.10.02.htm 10.07.10.02. 02 Definitions.. A. All terms used in these regulations shall have the same meaning as those used in the Act.. B. Terms Defined.. 1) "Administrator" means an individual who has had:. a) Formal education in health services or administration, as evidenced by being a:. i) Physician,. ii) Registered nurse, or. iii) College graduate with a bachelor's or higher degree in a health-related field; and. b) At least 1 year of supervisory experience in:. i) Hospital management,.
10.07.10.03.htm 10.07.10.03. 03 Application for a License.. A. The applicant shall file an application for a license to operate a home health agency on forms provided by the Department.B. The application for licensure shall contain the name and address of each officer and director of the home health agency. Those corporations having more than 100 owners shall name those having an interest of 2 percent or more. Persons related by marriage or blood to the third degree of consanguinity shall each be named if
10.07.10.04.htm 10.07.10.04. 04 General Licensure Provisions.. A. A person, partnership, corporation, or association, or any State or local government or agency thereof, may not conduct, operate, or maintain a home health agency in the State without being licensed by the Department. A license is valid for 1 year from the date of issuance, unless revoked by the Secretary.B. Application for License. An agency desiring to conduct, operate, or maintain a home health agency in the State shall file
10.07.10.05.htm 10.07.10.05. 05 Inspections.. A licensed home health agency or an entity proposing to operate such a facility shall be open during normal business hours, or any other times that the facility is serving residents, for inspection by the Department or by any other agency designated by the Department to:A. Survey home health agencies at least every 3 years;. B. Verify compliance with licensing regulations; or. C. Investigate complaints..
10.07.10.06.htm 10.07.10.06. 06 Administrative Enforcement.. A. When a home health agency fails to comply with these regulations, the Department may:. 1) Deny any application for a license;. 2) Suspend or revoke a license; or. 3) Issue a provisional license.. B. Revocation, suspension, denial, or issuance of a provisional license shall occur in accordance with State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland.C. The Department may issue a provisional license for a period of less than
10.07.10.07.htm 10.07.10.07. 07 Notice to Patients.. The home health agency shall notify each patient or the patient's authorized representative, the patient's attending physician, and any third-party payers at least 30 days before the voluntary surrender of its license, or as directed under an order of denial, revocation, or suspension of license issued by the Department.
10.07.10.08.htm 10.07.10.08. 08 Posting of License.. A. The home health agency shall conspicuously post its license in its office and in each of its branch offices. The license shall be posted as to be viewable by the general public.B. In branch offices, the license shall be accompanied by a Departmental statement affirming the authority of the branch office to conduct its activities under the licensure authority of its parent agency.
10.07.10.09.htm 10.07.10.09. 09 Governing Authority.. A. The home health agency shall have a duly constituted governing body, or designated persons so functioning, with full legal authority, responsibility, and accountability for its operation.B. Adoption of By-laws.. 1) The governing body shall adopt written by-laws, in accordance with applicable legal requirements, for the conduct of business by the home health agency.2) These by-laws shall include, at least the following:. a) A statement of objectives; and.
10.07.10.10.htm 10.07.10.10. 10 Personnel.. A. All professional personnel employed by or conducting business with a home health agency shall be licensed or duly authorized to conduct the business under the laws and regulations of the State.B. The home health agency shall have written policies on qualifications, responsibilities, and requirements for employment for each classification of personnel, including licensure where required.C. The policies of the home health agency shall, at a minimum, provide for:.
10.07.10.11.htm 10.07.10.11. 11 Staff Supervision and Training.. A. The Administrator shall appoint a full-time employee as a "service director" to provide general supervision and direction of the professional services offered by the home health agency. The service director, who shall be a physician, registered nurse, or an alternate professional, who is sufficiently qualified by advance training to supervise this service, shall be available at all times during operating hours of the home health agency and sha
10.07.10.12.htm 10.07.10.12. 12 Clinical Records.. A. A clinical record shall be maintained for each patient in accordance with accepted professional standards, including, at a minimum:1) All pertinent diagnoses;. 2) Name, address, and telephone number of physicians;. 3) Physician's orders, including specific instructions for services to be rendered, activities and limitations, and medically-necessary supplies and equipment;4) Drug information, including type, dosage, route of administration, frequ
10.07.10.13.htm 10.07.10.13. 13 Program Review and Evaluation.. A. The home health agency shall establish policies and procedures for self-evaluation of its programs. These should include, at a minimum:1) Evaluations of staffing patterns to assure adequacy and appropriateness of service delivered;. 2) An annual review of programs to determine:. a) Trends in service needs and activities;. b) Problems and unmet needs of patients;. c) Anticipated changes in delivery of service;.
10.07.10.14.htm 10.07.10.14. 14 Patient's Bill of Rights.. A. The home health agency shall provide each patient, client, or designated representative with a written statement affirming the agency's representatives support of a patient's bill of rights, including:1) Upon request, a written statement of services offered, including frequency and unit charge;. 2) Fully itemized, billing statements, including date of service and unit charge, to be made available on request of the patient;
10.07.10.15.htm 10.07.10.15. 15 Tuberculosis Screening.. A. Certification of paid and unpaid personnel under Regulation .09E shall occur not later than 10 days after the beginning of service. Certification shall be accomplished in one of the following four ways as specified in §A(1)4) of this regulation:1) If the individual has documentation of a negative tuberculin test by the Mantoux method within the past 24 months and has, by history, no contact with a person with tuberculosis in a communicable f
10.07.10.16.htm 10.07.10.16. 16 Rehabilitation Services.. A home health agency that holds itself out to the public as providing a complete array of physical rehabilitation services shall:A. Provide a program of coordinated interdisciplinary rehabilitative care that shall include:. 1) Physical and occupational therapy,. 2) Speech and language therapy,. 3) Audiology therapy,. 4) Psychotherapy, and. 5) Social work services;. B. Hold interdisciplinary meetings with the involvement of a physician to p
10.07.10.9999.htm 10.07.10.9999. Administrative History Effective date: June 2, 1978 (5:11 Md. R. 884). Regulation .03B amended effective June 29, 1979 (6:13 Md. R. 1126) June 13, 1980 (7:12 Md. R. 1147) May 24, 1982 (9:10 Md. R. 1022)Regulation .09E amended effective May 24, 1982 (9:10 Md. R. 1022) ―. Chapter revised effective December 14, 1987 (14:25 Md. R. 2660). Regulation .02B amended effective April 11, 1994 (21:7 Md. R. 530). Regulation .04 amended effective April 11, 1994 (21:7 Md. R. 530).
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