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This policy apples to all patient referrals made to the HHA for home health services, including skilled nursing, therapy services (physical, occupational, and speech-language), and home health aide services. 1. Referrals are to be received through phone, fax, or secure email. Upon receiving a referral, the agency's intake coordinator will initiate a preliminary review, ensuring that all necessary information is provided. 2. HHA will take into consideration the case load and case mix of the current number of patients being served by the HHA to ensure that the agency is not overloaded and can provided adequate attention and resources to new referral. 3. HHA will assess whether it has sufficient qualified staff to provide timely and appropriate care to the new patient without compromising the care of existing patients. 4. If the agency determines it cannot meet the patient's needs, the referral will be declined. In such cases, the referring provider will be notified and alternative home health services may be recommended. All decisions regarding acceptance or denial of referral will be documented in the referral log. 5. This policy will be reviewed annually by the HHA's leadership team to ensure its continued relevance and compliance with regulatory requirements. Any changes to the agency's capacity, staffing, services, or referral process will be communicated to staff and made publicly available. For more information visit the CMS home health compare website.