NPRA Best Practices — Articles for an NPRA Agent

Article I
For an NPRA Agent the needs of a client shall always be the primary consideration for any referral executed.
Article II
An NPRA Agent, agrees to observe all state and federal Medicare/Medicaid policies at hospitals, skilled nursing facilities, home health and hospice companies regarding vendor visitation, gifting, and compensation for each referral. NPRA Agent will neither compensate nor pay an employee of these organizations for a referral.
Article III
By state and federal laws, no fee of any kind can be charged or accepted for residents placed who are already approved or received into any state Medicaid Program. Including instances when a family arranges for an upgrade in living arrangements (i.e., private room setting); a family may pay, and the facility may collect additional fees. Some states may allow a receipt of payment for assisting a family in the research and the selection of an approved state Medicaid facility. This fee is paid by a family/client representative directly to the referral agency and does not involve the funds of a client covered under the state Medicaid program. An NPRA Agent, will comply and accept their state and federal laws regarding fees for assisting Medicaid clients.
Article IV
An NPRA Agent, will practice a quality intake [a suitability interview] for each client to determine specific care based on their situation, level of activity and care needs. An NPRA Agent, will tour with a client or client’s representative when possible. The personal intake [a suitability interview] provides necessary insight to an agent when selecting a care property or center to tour and personalize the process with each dient/family they serve.
Article V
Before a tour of any facility with a client or client’s representative, an NPRA Agent, will review any available state surveys or enforcement actions, and share results with the resident or resident’s legal representative. An NPRA Agent, will vet care properties and centers through personal tours and research before advising on a care property or center. An NPRA Agent, shall refer to independent living, assisted living centers, facilities and care homes they have toured and adequately researched.
Article VI
An NPRA Agent, will not engage in the practice commonly known as ‘churning’ to move or relocate a previously placed client for additional econonic gain. Any issues following placement of a client or requests to relocate a client must be addressed directly with the NPRA Agent, client representative, and engaged facility. An NPRA Agent, will not initiate any relocation. Only a client representative, family member or the facility can undertake relocation of a resident. Relocation can occur after all parties have been unable to resolve their issue, and relocation is the only option and in the best interest of the resident.
Article VII
An NPRA Agent, maintain professional and general liability insurance for one million dollars ($1,000,000.00) per occurrence. Member will supply a copy of an ACORDV Certificate of Liability Insurance within ten days of policy renewal. Member will request that insurance carder name NPRA and their local trade association as a certificate holder, so renewal and update is automatically sent to NPRA.
Article VIII
An NPRA Agent must disclose to their clients the nature or source of their compensation. An NPRA Agent, shall not base the placement of a client on the level or amount of compensation they receive from one facility over another.
Article IX
An NPRA Agent is obligated to recognize and report to appropriate authorities any witnessed incidents of elder abuse or suspected abuse. In addition, an Agent shall report to licensing authorities all health or safety violations observed within a facility or home.
Article X
An NPRA Agent, will educate themselves and seek the knowledge to utilize the senior industry resources in their local community. They will maintain an in-depth understanding of the independent living, assisted living, care homes and any other resources in which they will represent. An NPRA Agent will utilize their industry knowledge and resources to provide personal and professional options to each client.
Article XI
Under their NPRA membership an agent [at minimum] will meet the standards of their local or state trade association, including any state laws which regulate an elder referral agent and their associates. To be confirmed for membership with NPRA, an agent must be a member in good standing with their state or local association.

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