Current through Register No. 52, December 26, 2024
(a) At the time of
admission, personnel of the CMA shall:
(1)
Provide, both orally and in writing, to the client, guardian, agent, and
personal representative, as applicable:
a. A
copy of the home care clients' bill of rights;
b. The CMA's complaint procedure and rules;
and
c. Documentation to verify
receipt of these policies and rules; and
(2) Collect and record the following
information:
a. Client's name, home address,
and home telephone number;
b.
Client's date of birth;
c. Name,
address, and telephone number of an emergency contact;
d. Name of client's primary care provider
with the address and telephone number;
e. Copies of all legal directives such as
durable power of attorney, legal guardian, living will, or documentation of the
request; and
f. Written and signed
consent for the delivery of services and the release of information.
(b) Each client shall
have an initial assessment prior to the development of the care plan.
(c) Each client shall have a review of needs
whenever the case manager, client, or guardian, agent or personal
representative determine that the services provided are no longer required or
not meeting the client's needs.
(d)
The care plan shall be developed by the case manager and the client or client's
guardian, agent or personal representative.
(e) For each client accepted for care and
services by the CMA, a current and accurate record shall be maintained that
includes, at a minimum:
(1) The written
confirmation required by (a)(1) above;
(2) The identification data required by
(a)(2) above;
(3) Consent and
medical release forms, as required by (a)(2)f. above;
(4) The record of assessments and reviews as
required by (b) and (c) above;
(5)
All care plans, including documentation that the client, guardian, agent or
personal representative participated in the development of the care plan if
they choose to;
(6) A copy,
initialed by the client and/or the client's guardian, agent or personal
representative, of all charges and services to be provided as required by
He-P
819.14(r); and
(7) Documentation of all contacts with the
client and/or the client's guardian, agent or personal representative, with
service providers identified in the client's care plan, and with anyone else
involved with the client's care plan.
