Current through Register Vol. 35, No. 6, March 26, 2024
A.
Licensed practical nurses:
Services and care provided by a licensed practical nurse will be furnished
under the supervision of a registered nurse who has a minimum of one year home
health experience or a minimum of two years nursing experience. Such
supervision will include, at a minimum:
(1)
Identify appropriate tasks to be performed by the licensed practical
nurse.
(2) Conduct and document a
supervisory visit to at least one patient/client residence at least every 60
days, or more often as indicated.
B.
Physical therapy assistants:
Services and care provided by a physical therapy assistant will be furnished
under the supervision of a physical therapist, with a minimum of one year
experience. Such supervision will include, at a minimum:
(1) Identify appropriate tasks to be
performed by the physical therapy assistant.
(2) Conduct and document a supervisory visit
to the patient/client residence at least every 30 days or as
indicated.
(3) Be on-call and
readily available and within a 100 mile radius, or have appointed another
physical therapist in their absence.
(4) Supervise no more than two physical
therapy assistants.
C.
Certified occupational therapy assistants: Services and care
provided by a certified occupational therapy assistant will be furnished under
the supervision of an occupational therapist, with a minimum of one year
experience. Such supervision will include, at a minimum:
(1) Identify appropriate tasks to be
performed by the certified occupational therapy assistant.
(2) Conduct and document a supervisory visit
to the patient/client residence:
(a) at a
minimum of every two weeks for intermediate-level certified occupational
therapy assistants;
(b) at a
minimum of every 30 days for advanced-level certified occupational therapy
assistants.
D.
Home health aides: Services and care provided by a home health
aide will be furnished under the supervision of an appropriately licensed
professional, such as, registered nurse, physical therapist, occupational
therapist, or a speech language pathologist with a minimum of one year
experience. Such supervision will include, at a minimum:
(1) Preparation of written patient/client
instructions which identify appropriate tasks to be performed by the home
health aide.
(2) Conduct and
document a supervisory visit to the patient/client residence at least every 62
days or as often as the condition of the patient/client requires. Note:
Patient/clients who have multiple home health aides require only one
supervisory visit. This home health aide need not be present in the
patient/client's residence at the time of the supervisory visit.
E.
Personal care attendants
or equivalent: Services and care provided by a personal care attendant
or equivalent will be supervised by a licensed professional or by an
appropriately qualified staff member who has one year direct patient care
experience. Such supervision will include, at a minimum:
(1) Preparation of written patient/client
care instructions which identify appropriate tasks to be performed by the
personal care attendant or equivalent.
(2) Conduct and document a supervisory visit
to the patient/client's residence at least every 62 days or as often as the
condition of the patient/client requires. Note: Patient/clients who have
multiple personal care attendants or equivalent require only one supervisory
visit. The personal care attendant need not be present in the patient/client's
residence at the time of the supervisory visit.
F.
Homemakers: Services and care
provided by a homemaker will be supervised by a licensed professional or by an
appropriately qualified staff member who has one year direct patient care
experience. Such supervision will include, at a minimum:
(1) Preparation of written patient/client
care instructions which identify appropriate tasks to be performed by the
homemaker.
(2) Conduct and document
a supervisory visit to the patient/client's residence at least every 62 days or
as often as the condition of the patient/client requires. Note: Patient/clients
who have multiple homemakers require only one supervisory visit. The homemaker
need not be present in the patient/client's residence at the time of the
supervisory visit.
