Arrangements with Parent Agency and Other Entities

50.3 - Arrangements with Parent Agency and Other Entities (Rev. 1, 09-11-02) If an agency's subdivision (acting in its capacity as an HHA) makes an arrangement with its parent agency for the provision of certain items or services, there need not be a contract or formal agreement. If, however, the arrangement is made between the HHA and another provider participating in the health insurance program (hospital, skilled nursing facility, or HHA, and, in the case of physical therapy, occupational therapy, or speech-language pathology services, clinics, rehabilitation agencies, and public health agencies), there must be a written statement regarding the services to be provided and the financial arrangements. If the arrangements are with an agency or organization that is not a qualified provider of services, there must be a written contract that includes all of the following: • A description of the services to be provided; • The duration of the agreement and how frequently it is to be reviewed; • A description of how personnel will be supervised; • A statement that the contracting organization will provide services in accordance with the plan of care established by the patient's physician in conjunction with the HHA's staff; • A description of the contracting organization's standards for personnel, including qualifications, functions, supervision, and inservice training; • A description of the method of determining reasonable costs and reimbursement by the HHA for the specific services to be provided by the contracting organization; and • An assurance that the contracting organization will comply with title VI of the Civil Rights Act.