Contracted services

Home health care agencies may hire other organizations, agencies or individuals to provide services to home health care agency patients. Services provided by the primary agency through arrangements with a contractor agency or individuals shall be set forth in a written contract which clearly specifies: (a) That the patient's contract for care is with the primary agency; (b) The services to be provided by the contractor; (c) The necessity to conform to all applicable primary agency policies, including personnel qualifications, supervisory ratios and staffing patterns; (d) The responsibility for participating in developing the patient care plans; (e) The procedures for submitting clinical and progress notes, scheduling visits, periodic patient evaluation, and determining charges and reimbursement; (f) The procedure for annual assurance of clinical competence of all personnel utilized under contract; (g) A term not to exceed one year.