Contract Checklist
Contract Checklist
All Agreements Must Include:
1. Exact name or corporate name of both parties and, if possible, address.
2. A statement regarding indemnification of either party to the Agreement.
3. The term of the Agreement and the conditions for renewal or termination.
4. The procedures for determining charges and reimbursement.
5. A requirement that any amendments or changes in reimbursement must be made in writing.
All Subcontract Agreements Must Include:
1. A requirement to provide proof of current applicable license(s).
2. A requirement to provide proof of adequate insurance or liability coverage.
3. The responsibility of the contracted individual or organization to adhere, as appropriate, to applicable organization policies, including personnel qualifications.
4. Language that grants the Secretary of the U.S. Department of Health and Human Services and the U.S. Comptroller General, and their authorized representatives, access to contractor’s records necessary to certify the nature and extent of costs incurred by Agency for services provided by Contractor.
5. A statement regarding confidentiality of all patient information.
6. Agency responsible for the patient admission process.
7. Type of services to be provided.
8. Party responsible for initial and ongoing assessment.
9. Party responsible for developing, reviewing, and revising the Plan of Care.
10. Party responsible for coordinating, supervising, and evaluating the patient services provided.
11. The role of the Agency and the contracted individual or organization in scheduling visits or hours.
12. The role of the Agency and the contracted individual or organization in discharge planning.
13. The required documentation of services provided and the time frame for completing and submitting such documentation to the Agency.
Source: Pathways Hospice & Home Health, Oakland, CA.
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