The implementation of new ROP Guidance for SNFs as it relates to the requirements for Transfer and Discharge Notices has created confusion as to when notices must be issued and who should receive a copy of the notice. ROLF has developed a SNF Transfer & Discharge Decision Tree for Ohio to assist in determining what notices must be issued under what circumstances and who should receive a copy of the notice. A copy may be accessed HERE.
Transfer Notices. In short, SNFs will need to provide a Transfer Notice that provides appeal rights to the resident every time the resident is transferred to the hospital for an inpatient stay. A copy of all Transfer Notices must be sent via email to ODH legal at firstname.lastname@example.org at the time of the transfer. A copy must also be sent to the Ombudsman at email@example.com when practicable, such as via a list of hospital transfers on a monthly basis.
Discharge Notices. If a facility initiates a discharge for any reason or determines it cannot readmit a resident after a hospital transfer, it must issue a Discharge Notice to the resident. If it determines it cannot readmit a resident following a hospital stay, the reason for the discharge must be based on the resident’s condition/assessment at the time of the discharge from the hospital and not at the time of the original transfer to the hospital. A copy of all Discharge Notices must be emailed to ODH legal and the Ombudsman at the time of the transfer.
** Note that the linked Decision Tree was updated on 4/17/18.
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