DHS 131.17(1)(f)(f) Allow an individual to receive hospice services whether or not the individual has executed an advance directive. DHS 131.17(2)(a)(a) A hospice employee shall inform the person and his or her representative, if any, of admission policies under sub. (1). DHS 131.17(3)(a)(a) The hospice employee shall, based on the needs described by the person seeking admission or that person’s representative, if any, or both, make an initial determination as to whether or not the hospice is generally able to meet those needs. DHS 131.17(3)(b)(b) If the hospice employee determines that the hospice does not have the general capability to provide the needed services, the hospice may not admit the person but rather shall suggest to the referring source alternative programs that may meet the described needs. DHS 131.17(4)(4) Patient acknowledgement and hospice acceptance. The person seeking admission to the hospice shall be recognized as being admitted after: DHS 131.17(4)(b)1.1. The person or the person’s representative, if any, acknowledges, in writing, that he or she has been informed about admission policies and services. DHS 131.17(4)(b)3.3. The person or the person’s representative, if any, authorizes services in writing. DHS 131.17(5)(5) Prohibition. Any person determined not to have a terminal illness as defined under s. DHS 131.13 (24) may not be admitted to the hospice. DHS 131.17 HistoryHistory: CR 10-034: cr. Register September 2010 No. 657, eff. 10-1-10. DHS 131.18(1)(1) Obligation. Once a hospice has admitted a patient to the program, and the patient or the patient’s representative, if any, has signed the acknowledgement and authorization for services under s. DHS 131.17 (4) (b), the hospice is obligated to provide care to that patient. DHS 131.18(2)(2) Written policy. The hospice shall have a written policy that details the manner in which the hospice is able to end its obligation to a patient. This policy shall be provided to the patient or patient’s representative, if any, as part of the acknowledgement and authorization process at the time of the patient’s admission. The policy shall include all of the following as a basis for discharging a patient: DHS 131.18(2)(a)1.1. Upon the request or with the informed consent of the patient or the patient’s representative. DHS 131.18(2)(a)3.3. If the patient elects active treatment, inconsistent with the role of palliative hospice care. DHS 131.18(2)(a)4.4. If the patient moves out of the geographical area served by the hospice or into a facility that does not have a contract with the hospice. DHS 131.18(2)(a)5.5. If the patient requests services in a setting that exceeds the limitations of the hospice’s authority. DHS 131.18(2)(a)6.6. For nonpayment of charges, following reasonable opportunity to pay any deficiency. DHS 131.18(2)(a)7.7. For the patient’s safety and welfare or the safety and welfare of others, if the hospice determines that the behavior of the patient or other persons in the patient’s home is disruptive, abusive, or uncooperative to the extent that delivery of care to the patient or the ability of the hospice to operate effectively is seriously impaired. DHS 131.18(2)(a)8.8. If the hospice determines that the patient is no longer terminally ill. DHS 131.18(2)(b)(b) The hospice shall do all of the following before it seeks to discharge a patient whose behavior or the behavior of other persons in the patient’s home, is disruptive, abusive, or uncooperative to the extent that delivery of care to the patient or the ability of the hospice to operate effectively is seriously impaired: DHS 131.18(2)(b)2.2. Make a serious effort to resolve the problem or problems presented by the patient’s behavior or situation.