Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.81 - Increased Community Services (ICS) Program
Section 10.09.81.31 - Covered Services - Nursing Supervision of Attendants
Universal Citation: MD Code Reg 10.09.81.31
Current through Register Vol. 51, No. 19, September 20, 2024
A. Definition. "Unit of service" means an hour of service rendered by a nurse monitor to a participant in the participant's home or another community-based setting.
B. Nursing supervision services include the following:
(1) Development of the
participant's plan for attendant care:
(a)
After consultation with the participant, family members, participant's personal
physician, case manager, and other providers; and
(b) In conformance with the participant's:
(i) AERS evaluation;
(ii) AERS plan of care; and
(iii) Plan of service;
(2) Providing health-related
information and training to the attendant concerning topics related to the
care, or progress, of the participant, including:
(a) The performance of the services in the
participant's plan for attendant care; and
(b) Information that should be brought to the
attention of the attendant care provider agency, the nurse monitor, personal
physician, or case manager;
(3) Ensuring that each attendant to be
supervised by the provider meets the requirements in Regulation .13A, B, and D
of this chapter;
(4) Nursing
supervision of the participant's medical condition and the care rendered by an
attendant, including any delegated nursing functions performed by an attendant,
in accordance with COMAR 10.27.11 and the schedule specified in §B(5) of
this regulation, by reviewing the:
(a)
Participant's plan of service and specific plan for attendant care;
(b) Interactions between the participant and
the attendant;
(c) Attendant's
performance and ability to render the required services; and
(d) Participant's medical condition and need
for attendant care services or for referral to other services;
(5) Providing the necessary type
and frequency of nursing supervision required in accordance with COMAR
10.27.11, with the exception of COMAR
10.27.11.04C,
including visits to a participant's home or other service delivery site for
observation at least every:
(a) 45 days if the
attendant administers medications to the participant;
(b) 3 months if the attendant assists the
participant with self-administration of medications;
(c) 4 months if the attendant does not
administer medications or assist the participant with medication
self-administration; or
(d) At a
greater frequency established by the nurse monitor due to the participant's
medical condition or clinical status;
(6) Rendering a professional evaluation, in
accordance with Regulation .13B(3) of this chapter, of a attendant's ability to
carry out the participant's specific plan for attendant care; and
(7) Documenting an action plan to address
health and safety or medical concerns, including missed nursing supervision
visits, and providing a copy of the plan to the case management agency within 5
business days.
C. The services covered under this regulation may not include nursing services other than those services described in this regulation.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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