Section 4010. Powers and duties of the commissioner and the state hospital review and planning council  


Latest version.
  • 1. The commissioner shall have the power to
      conduct periodic inspections of hospices with respect to the fitness and
      adequacy of equipment, personnel, rules and bylaws, standards of service
      and medical care, system of  accounts,  records,  and  the  adequacy  of
      financial resources and sources of future revenues.
        2. The commissioner shall seek from the federal government any waivers
      necessary  to  obtain  medicare  reimbursement  for services provided by
      hospices which provide nursing services by arrangement with a  certified
      home  health  agency.  Subject  to  the  approval of the director of the
      budget, the commissioner is authorized to seek any other federal waivers
      he deems necessary to improve the provision of hospice services.
        3. Each hospice shall submit annually to the commissioner  a  complete
      description  of  its operation, including name, address, principal place
      of business, ownership, identification of the  administrative  personnel
      and  members  of  the  interdisciplinary  team, the nature and extent of
      palliative and supportive care, the functions and  activities  performed
      by  volunteers,  a copy of all contracts and agreements entered into for
      the care and services it provides  under  arrangement,  and  such  other
      information  as  the  commissioner shall require. The commissioner shall
      set an annual date for submission of such information.
        4. The state hospital review and planning council, by a majority  vote
      of  its members, shall adopt and amend rules and regulations, subject to
      the approval of the  commissioner,  to  effectuate  the  provisions  and
      purposes  of  this  article  with respect to hospices including, but not
      limited  to,  (a)  the  establishment  of  requirements  for  a  uniform
      statewide  system  of  reports  and  audits  relating  to the quality of
      services provided and their utilization and costs; (b) establishment  by
      the  department  of schedules of rates, payments, reimbursements, grants
      and other charges; (c) standards and procedures relating to certificates
      of approval for hospices; (d) uniform  standards  for  quality  of  care
      services to be provided by hospices; (e) requirements for minimum levels
      of  staffing,  taking  into consideration the size of the hospice or the
      type of care and service provided, and the special needs of the  persons
      served;   (f)   standards   and   procedures   relating  to  contractual
      arrangements between hospices and other providers of care including  the
      provision  of nursing services by contract; (g) requirements for uniform
      review of the appropriate utilization of services; (h) requirements  for
      minimum  qualifications  and  standards  of  training  for  personnel as
      appropriate; (i) requirements to assure that certified  hospices  assume
      total  responsibility  for  hospice  patients,  including  direction and
      coordination of all care; and (j) requirements relating to  fire  safety
      in those portions of hospice residences in which hospice patients reside
      and receive care, which requirements shall establish standards identical
      to  those  set  forth for small residential board and care facilities in
      chapter  21,  section  21-2  of  the  1985  National   Fire   Protection
      Association  101 Life Safety Code, as in effect on the effective date of
      this paragraph.  The commissioner may propose rules and regulations  and
      amendments thereto for consideration by the council.