CMS SOM App. B, Tag G464

[…The HHA must do the following before it discharges a patient for cause:]

(5)(i) Advise the patient, the representative (if any), the physician(s) or allowed

practitioners(s) issuing orders for the home health plan of care, and the patient’s

primary care practitioner or other health care professional who will be responsible

for providing care and services to the patient after discharge from the HHA (if any)

that a discharge for cause is being considered;

Interpretive Guidelines §484.50(d)(5)(i)

The HHA must notify the patient, his or her representative (if any), the physician(s) or

allowed practitioners(s) issuing orders for the home health care and the patient’s primary

care practitioner that the HHA is considering a discharge for cause. If the HHA can

identify other health care professionals who may be involved in the patient’s care after

the discharge occurs, then the HHA should notify those individuals of the discharge when

discharge becomes imminent.