Hospice Agency Licensing and Certification Program
Program Overview
Welcome to the home page for the Hospice Agency Licensure and Certification Program. The Indiana State Department of Health licenses agencies that provide a specialized from of interdisciplinary health care that is designed to alleviate the physical, emotional, social, and spiritual discomforts of an individual who is experiencing the last phase of a terminal illness or disease. The agencies provide:
- physician services;
- nursing services;
- medical social services;
- counseling services;
- physical therapy;
- occupational therapy;
- speech therapy;
- home health aide;
- homemaker;
- medical supplies;
- short term inpatient services
at the patient's residence or inpatient care unit. The Indiana State Department of Health inspects hospice agencies for quality of care to citizens of Indiana and to ensure compliance with state laws. The Indiana State Department of Health also monitors agencies, on behalf of the Centers for Medicare and Medicaid Services, for quality of care for all citizens in need of these services and to ensure compliance with federal regulations.
Contact the Program
Indiana State Department of Health
Division of Acute Care
2 North Meridian Street, 4A
Indianapolis, IN 46204
(317) 233-7474 (Acute Care Receptionist)
(317) 233-1325 (ISDH Main Switchboard)
Map
Program Manager
Kelly Hemmelgarn
khemmelgarn@isdh.in.gov
(317) 233-7541
(317) 233-7472 [Administrative Assistant]
Report a Complaint, Incident or Crime to the ISDH
Report a complaint regarding a health care facility
Any individual may submit a complaint to the ISDH about care provided at any licensed or certified Indiana health care facility or entity. The ISDH investigates all complaints. The above link is to a page that provides information about the complaint process and how to report a complaint. A Complaint report form is provided for individuals to assist in the reporting of care issues.
Report an incident regarding a health care facility
State or federal regulations require health facilities or entities to report certain types of “incidents” to the ISDH. The above link is to a page that provides information about the incident reporting process and how a health care facility or entity reports incidents. An Incident report form is provided for health care facilities to report incidents to the ISDH.
Report a reasonable suspicion of a crime against a long term care resident
Federal law requires “covered individuals” to report a reasonable suspicion of a crime against a long term care resident to the ISDH and a local law enforcement entity. Covered individuals include an owner, operator, employee, manager, agent, or contractor of the facility. The included facilities include a nursing home, hospice, or intermediate care facility for individuals with intellectual disabilities (ICF-IID). The above link is to a page that provides information for long term care providers about the crime reporting requirements and how to report a reasonable suspicion of a crime against a resident. A Reporting a crime form is provided for individuals to report suspected crimes to the ISDH.
Consumer Information
Centers for Medicare and Medicaid Services
Your Medicare Rights and Responsibilities
Out of Hospital Do Not Resuscitate Declaration and Order
Consumer Reports
Survey Reporting System (SRS)
Directories
Directory of Hospice Agencies Located in City/County
Directory of Hospice Agencies Serving County
Employment Opportunities
Learn more about Employment Opportunities with the Indiana State Department of Health
Forms
Application for License Approval to Operate a Hospice Program
Re-Application/Approval for License Approval to Operate a Hospice
Centers of Medicare and Medicaid Services Forms
Laws and Regulations
Federal Laws and Regulations
Appendix M State Operations Manual
Code of Federal Regulations (CFR) Homepage
State Laws and Rules
Emergency Relocation of Residents Rules
Qualified Medication Aides Rules
Indiana Law and Rules Homepage
Limited Criminal History Search
Links
Professional Organizations
Indiana Association for Home and Hospice Care
Indiana Hospice and Palliative Care
Accreditation Organizations
American Osteopathic Association
Joint Commission on Accreditation of Hospital Organizations
State Government
Indiana Public Access Counselor
Office of Medicaid Policy and Planning (FSSA)
Federal Government
Agency for Healthcare Research and Quality (AHRQ)
Americans with Disabilities Act (ADA)
Centers for Disease Control and Prevention (CDC)
Centers for Medicare and Medicaid Services (CMS)
Health Care Excel (HCE)
National Patient Safety Foundation
Newsletters
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