(a) A hospice shall inform and document that each patient, or when appropriate the patient’s representative, has been informed of the following before or during the initial evaluation:

1. (1)

   1. (A) The right to:

(i) (i) Age; and

1. (ii) Be free from physical abuse, mental abuse, and/or neglect.

   1. (B) The patient and property shall be treated with dignity and respect by all that provide services;
2. (2) The right to receive an explanation of the informed consent and election statement that is signed by the patient or patient’s representative for the provision of hospice care;

3. (3) The right to participate in the decisionmaking process regarding:

   1. (A) Where care is to be delivered; and
   2. (B) The options available;
4. (4) The right to receive a timely response from the hospice agency regarding any request for services;
5. (5) The right to privacy and confidentiality;

6. (6) The right to be informed of:

   1. (A) The name of the hospice agency;
   2. (B) Services offered by the agency;
   3. (C) Services being provided to the patient; and
   4. (D) How to contact that agency during all hours;

7. (7) The right to be informed of the:

   1. (A) Process of submitting and addressing complaints to the hospice agency; and
   2. (B) Address and phone number of the state licensing agency;
8. (8) The right to be informed that a hospice may not discontinue or diminish care because of the lack of a payor source;
9. (9) The right to be informed orally and in writing, prior to service, of expected payment sources, i.e., Medicare, Medicaid, and various other payor; and
10. (10) Services the hospice does not cover.

(b) The agency shall provide each patient and patient’s representative with a list affirming the patient’s and patient’s representative’s responsibility to:

1. (1) Assist in developing and maintaining a safe environment, when possible;
2. (2) Treat all agency staff with respect;
3. (3) Participate in the development and update of the plan of care; and
4. (4) Adhere to the plan of care as developed by the agency and assist in the care as necessary.