Attendant Care Service 525-05-30-18
(Revised 7/1/15 ML #3460)
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Purpose
Attendant Care Services (ACS) is hands on care,
of both a supportive and medical nature, specific to a client who is ventilator
dependent for a minimum of 20 hours per day and includes nursing activities
that have been delegated by the nurse manager to the ACS provider. ACS
is an all-inclusive service that provides direct care to ventilator-dependent
individuals to meet their care needs.
Service
Eligibility, Criteria for
The individual receiving ACS must be:
- Eligible for the Technology
Dependent Medicaid Waiver
- Dependent upon a ventilator
for a minimum of 20 hours per day
- Medically stable, as documented
by their primary care physician on an annual basis (at a minimum) or as
requested by the Case Manager
- Competent, as documented
by the primary care physician on an annual basis (at a minimum) or as
requested by the Case Manager
The individual receiving ACS must:
- Have an informal caregiver
support system to provide contingency (back-up) care in case of absence
of ACS providers
- Actively participate in
the development and monitoring of their individual care plan
Authorization
for Service
- The initial Request for
Attendant Care Services, SFN 944,Person Centered Plan of Care SFN 404, and NPOC (including documentation of education
provided for tasks, monitoring plan and instructions for incident reporting)
must be pre-approved by the Assistant Medicaid Director of the Long Term
Care Continuum, Medical Services Division. The case manager is responsible
to send the completed documents to Medical Services/HCBS.
- The Person Centered Plan of Care SFN 404 and NPOC must be updated and reviewed at
the six-month level by the Assistant Medicaid Director of the Long Term
Care Continuum, Medical Services Division. The case manager is responsible
to send the completed documents to Medical Services/HCBS.
- The Person Centered Plan of Care SFN 404, instructions for incident reporting, and
NPOC must be completed and reviewed on an annual basis by the Assistant
Medicaid Director of the Long Term Care Continuum, Medical Services Division.
The case manager is responsible to send the completed documents to Medical
Services/HCBS.
Service
Delivery
ACS and Nurse Management are provided in accordance with the nursing
plan of care (NPOC), developed by the client, the HCBS Case Manager and
the Nurse Manager, to meet the identified needs of the client. The Case
Manager is responsible to complete a Person Centered Plan of Care SFN 404 taking into consideration
the needs identified in the NPOC.
The ACS client is required to identify and oversee their ACS providers.
The client with the assistance of the Case Manager must develop a contingency
plan to assure health, welfare, and safety in the event clients care needs
change or providers are not available.
Incidents
The Nurse Manager provides written documentation to the Department that
shows he or she has provided instructions to the ACS Provider that outlines
the types of situations that are considered reportable incidents. ACS
providers must report incidents that result in client injury or require
medical care to the Nurse Manager and the Home and Community Based Services
(HCBS) Case Manager. If the HCBS Case Manager and Nurse Manager determine
that the incident is indicative of abuse, neglect, or exploitation, the
HCBS Case Manager must immediately report the incident to the Department.
The Case Manager must also follow the policy found in
HCBS Case Management 525-05-30-05, Monitoring for
Abuse, Neglect, or Exploitation.
Limits
- Payment to ACS providers
can be made for time performing authorized services even if performed
outside of the client’s home, and as approved by the Case Manager and
delegated by the Nurse Manager. The authorized hours remain the same regardless
of where the services are delivered.
Note:
When care
will be delivered outside the client’s home for a period in excess of
7 calendar days, the client must provide the Case Manager and the Nurse
Manager with contact information and an itinerary. The comprehensive assessment
must identify and the POC must outline the care required during the absence
from the client’s home.
- When there is an appearance
of potential ineligibility (change in medical or mental status), the Case
Manager, Nurse Manager or HCBS Program Administrators can request a re-evaluation
of eligibility determination.
- For consumers receiving
Attendant Care Service, the cost is limited to the highest monthly rate
allowed to a nursing facility within the rate setting structure of the
Department of Human Services. This cap may be increased as determined
by legislative action. If the client’s needs cannot be met within the
allowed rate, case management would explore other service options with
the participant including nursing home placement. The case manager should
make participants aware of the service cap.
- Due to the complexity of
the care provided to individuals receiving attendant care services, contingency
plans are required as a prerequisite to receive this service to assure
that health welfare and safety are maintained in the event that a provider
is unavailable to provide the service.
Service
Activities, Authorized and Limits
- The service tasks/activities
within the scope of this service chapter are identified on the Authorization
to Provide Waiver Service, SFN 404.
- Community Integration,
Social Appropriateness, shopping & Transportation, are tasks which
cannot be authorized.
- Documentation outlining
the tasks the nurse has trained/delegated to the Attendant Care Service
Provider are maintained by the Nurse and a copy sent to the Case Manager.
The Case Manager notes on the SFN 404 within Authorization of Waiver Services in Section VIII “Other," that
the nurse has trained/delegated tasks to the ACS Provider.