TN 1 (10-22)

HI 00401.285 Arrangements by HHA's

Arrangements may be made by an HHA with others to furnish items or services. Whether the services and items are furnished by the HHA itself or by another agency under arrangements made by the HHA, both must agree not to charge the patient for covered services and items and must also agree to return money incorrectly collected.

There are three situations in which an HHA may have arrangements with another health organization or person to provide home health services to patients:

1. A. 

   An agency or organization, in order to be approved to participate in the program makes arrangements with another agency or organization to provide the nursing or other therapeutic services which it cannot provide directly.

2. B. 

   An agency or organization, which is already approved for participation, makes arrangements with others to provide services it does not provide.

3. C. 

   An agency or organization, which is already approved for participation, makes arrangements with a hospital, SNF, or rehabilitation center for services on an outpatient basis because the services involve the use of equipment which cannot be made available to the patient in the patient's place of residence. If the arrangements are with an agency or organization which is not a qualified provider of services, there must be a written contract. The contracting organization must give assurance that it will comply with title VI of the Civil Rights Act.