. In order for a medical record to completely document a
service to a member, the record must describe fully the nature, extent,
quality, and necessity of the care furnished to the member. When the
information contained in a member's record does not provide sufficient
documentation for the service, the MassHealth agency may disallow payment
(
).
(a) The record
maintained by a CSN agency for each member must conform to 130 CMR 450.000:
Administrative and Billing Regulations. Payment for CSN agency
services described at 130 CMR 438.000 requires complete documentation in the
member's medical record. The CSN agency must maintain records for each member
to whom services are provided and a copy of the member's complete medical
record must be maintained in the member's home.
(b) The CSN agency must maintain an
up-to-date medical record of services provided to each member. The medical
record must contain at least the following in addition to the information
defined at
130
CMR 438.415(D):
1. the member's name, address, phone number,
date of birth, and MassHealth ID number;
2. the name and phone number of the member's
primary care physician or ordering non-physician practitioner;
3. the primary natural caregiver's name,
phone number, and relationship to the member;
4. the name and phone number of the member's
emergency contact person;
5. a copy
of all verbal orders, properly authenticated;
6. accessible and legible progress notes for
each visit, signed by the person providing the service, that include the
following information:
a. the full date of
service and time that each visit began and ended;
b. for CSN services, all treatments and
services ordered by the physician or ordering non-physician practitioner
included in the member's plan of care and documentation of which treatments and
services were provided during the visit and the member's response;
c. for complex care assistant services,
documentation of the treatments and services in the plan of care, and written
in the member care instructions described at
130
CMR 438.415(C)(4), that were
provided during the visit, as well as the member's response;
d. any additional treatment or service not
included in the member's plan of care provided, as well as the member's
response, including, for CSN services, documentation of medication
administration as described at
130
CMR
438.415(D)(3)(b)7;
e. any service or treatment the member may
have declined during visit and explanation of denial;
f. the member's vital signs and any other
required measurements, as appropriate; g. progress toward achievement of goals
as specified in the plan of care including, when applicable, an explanation of
why goals are not achieved as expected;
h. a pain assessment, as
appropriate;
i. the status of any
equipment maintenance and management, as appropriate; and
j. any contacts with physicians or other
health care providers about the member's needs or change in plan of care, as
applicable.
7. a current
medication administration list or other documentation, such as nursing notes,
that includes the timing of administration as ordered, drug identification and
dose, route of administration, the member's response to the medication being
administered, and the signature of the person administering the
medication;
8. any clinical tests
and their results, as applicable;
9. a signed medical records release form, as
applicable;
10. the number of
authorized nursing hours for their agency per calendar week for the
member;
11. the number of
authorized complex care assistant hours for the CSN agency per calendar week
for the member, as applicable;
12.
the names and telephone numbers of all the providers involved in co-vending
care; the number of nursing hours; and, as applicable, the number of complex
care assistant hours approved for each provider by the MassHealth agency or its
designee, to the best of the agency's ability; and
13. a copy of the CSN agency's current prior
authorization.