R432-700-14. Termination of Services Policies

(1) The licensee may discharge a client under any of the following circumstances: (a) a licensed practitioner signs a discharge statement for termination of services; (b) treatment objectives are met; (c) the client's status changes, that makes treatment objectives unattainable and new treatment objectives are not an alternative; (d) the family situation changes and affects the delivery of services; (e) the client or family is uncooperative in efforts to attain treatment objectives; (f) the client moves from the geographic area served by the agency; (g) the primary care provider fails to renew orders as required by the rules for skilled nursing or therapy services; (h) the client changes primary care providers and the licensee cannot obtain orders for continuation of services from the new primary care provider; (i) the client's payment sources become exhausted and the licensee is fiscally unable to provide free or reduced care; (j) the licensee discontinues a particular service or terminates services; (k) the licensee can no longer provide quality care in the place of residence; (l) the client or family requests agency services to be discontinued; (m) the client dies; (n) the client or family cannot or is unwilling to provide an environment that ensures safety for the both the client and provider of service; or (o) the client's payer excludes the licensee from participating as a covered provider or refuses to authorize services the licensee determines are medically necessary. (2) The person who is assigned to supervise and coordinate care for a particular client shall complete a discharge summary when services to the client are terminated.