1. (1) The licensee may discharge a client under any of the following circumstances:

   1. (a) a licensed practitioner signs a discharge statement for termination of services;
   2. (b) treatment objectives are met;
   3. (c) the client's status changes, that makes treatment objectives unattainable and new treatment objectives are not an alternative;
   4. (d) the family situation changes and affects the delivery of services;
   5. (e) the client or family is uncooperative in efforts to attain treatment objectives;
   6. (f) the client moves from the geographic area served by the agency;
   7. (g) the primary care provider fails to renew orders as required by the rules for skilled nursing or therapy services;

   8. (h) the client changes primary care providers and the licensee cannot obtain orders for continuation of services from the new primary care provider;

      1. (i) the client's payment sources become exhausted and the licensee is fiscally unable to provide free or reduced care;
   9. (j) the licensee discontinues a particular service or terminates services;

   10. (k) the licensee can no longer provide quality care in the place of residence;

       1. (l) the client or family requests agency services to be discontinued;
   11. (m) the client dies;
   12. (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
   13. (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. (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.

KEY: health care facilities

Date of Last Change: July 6, 2023

Notice of Continuation: August 13, 2021

Authorizing, and Implemented or Interpreted Law: 26B-2-202