§ 16-25-7-2 — Contents of disclosure document

The disclosure document required under
section 1 of this chapter must contain at least the following:
(1) A description of all hospice services provided by the hospice
program, including the:
(A) types of nursing services;
(B) other services;
(C) specific services available during the progressive stages of
the terminal illness and thereafter; and
(D) a statement that the extent of hospice services and supplies
are dispensed based on the hospice program patient's individual
needs as determined by the interdisciplinary team.
(2) An explanation of the hospice program's internal complaint
resolution process.
(3) A statement that the hospice program patient has the right to
participate in the planning of the patient's care.
(4) A statement that a hospice program patient may refuse any
component of hospice services offered by the hospice program.
(5) A statement that a hospice employee may provide supplies to
a:
(A) hospice program patient; or
(B) hospice program patient's family;
in addition to the supplies provided by the hospice program, but
the employee may only be reimbursed for the supplies by
providing a written receipt to the hospice program patient or the
hospice program patient's family.
(6) A statement that the hospice program patient may request the
hospice program to provide, on a monthly basis, an itemized
statement of services and supplies delivered to the patient, as
submitted to the patient's payor.
(7) The toll free number established by the state department under
IC 16-25-5-4 to receive complaints from hospice program patients
and the family members of hospice program patients regarding
the hospice program.

Legislative History

As added by P.L.256-1999, SEC.17.