Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 13 - NURSING SERVICES
Section 471-13-003 - PROVIDER REQUIREMENTS
Universal Citation: 471 NE Admin Rules and Regs ch 13 ยง 003
Current through March 20, 2024
003.01 GENERAL PROVIDER REQUIREMENTS. To participate in Medicaid, providers of nursing services must comply with all applicable provider participation requirements codified in Nebraska Administrative Code (NAC) Titles 471, 473, 480, and 482. In the event that provider requirements in 471 NAC 2 conflict with requirements outlined in this 471 NAC 13, the individual provider participation requirements in 471 NAC 13 will govern.
003.02 SPECIFIC PROVIDER REQUIREMENTS.
003.02(A)
LICENSING. Providers of private-duty nursing services
must be licensed by the Nebraska Department of Health and Human Services
Regulation and Licensure, or by the appropriate licensing agency of the state
in which they practice, as an individual registered nurse (RN) or licensed
practical nurse (LPN).
003.02(B)
PROVIDER DOCUMENTATION. The private-duty nurse must
maintain records to document services provided and the time worked for which
payment is claimed. These records must be available to the Department upon the
Department's request. Records must be retained for no fewer than six years for
audit purposes. Records must include.
(i)
Current, signed physician's orders for the care provided;
(ii) Assessment of the client's health
status;
(iii) Plan of
Care;
(iv) Nurse's notes
documenting the care provided; and
(v) Time sheets documenting the date and
times that care was provided.
003.02(C)
CLIENT
RECORDS. The private-duty nurse must maintain a medical record in
the client's home or current living arrangement which includes the Form MS-81:
Certification and Plan of Care For Private-Duty Nursing.
003.02(D)
MULTIPLE REGISTERED
NURSE (RN AND LICENSED PRACTICAL NURSE (LPN PROVIDERS). When more
than one registered nurse (RN) or licensed practical nurse (LPN) is providing
skilled nursing services for a client, the providers and client must determine
which registered nurse (RN) or licensed practical nurse (LPN) will be the
coordinator of services. The coordinator must complete the Form MS-81:
Certification and Plan of Care For Private-Duty Nursing, obtaining physician
orders, obtaining authorization for providing services, and making copies
available to the other providers.
Disclaimer: These regulations may not be the most recent version. Nebraska 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
