Virginia Administrative Code
Title 12 - HEALTH
Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Chapter 122 - COMMUNITY WAIVER SRVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Section 12VAC30-122-490 - Respite service
Universal Citation: 2 VA Admin Code 30-122-490
Current through Register Vol. 41, No. 3, September 23, 2024
A. Service description.
1. Respite service is
temporary, substitute care that is normally provided on a short-term basis for
temporary relief of the primary caregiver.
2. Respite service enables an individual to
maintain the health status and functional skills necessary to live in the
community or participate in community activities.
3. Respite service may be provided either
through an agency-directed or consumer-directed model. Respite service shall be
provided:
a. In home and community settings,
which may be based in the individual's home; or
b. Under the agency-directed model by
enrolled providers licensed to provide center-based respite service, to include
a group home or a sponsored residential home.
4. Respite service shall be covered in the
FIS and CL waivers.
B. Criteria.
1. To qualify for respite service,
the individual shall demonstrate (i) a need for assistance with ADLs, community
access, self-administration of medications or other medical needs, or
monitoring of health status or physical condition and (ii) the family or other
unpaid caregiver has expressed the need for relief of caregiving
duties.
2. The need for respite
service shall be documented in the plan for supports.
3. Allowable activities shall include:
a. Assistance support with ADLs and
IADLs;
b. Support with monitoring
of health status or physical condition;
c. Support with prescribed use of medication
and other medical needs;
d. Support
with preparation and eating of meals;
e. Support with housekeeping activities, such
as bed-making, cleaning, or the individual's laundry;
f. Safety supports;
g. Support with participation in social,
recreational, and community activities;
h. Accompanying the individual to
appointments or meetings; and
i.
Assistance with bowel/bladder care needs, range of motion activities, routine
wound care that does not include sterile technique, and external catheter care
when trained and supervised by an RN.
4. Individuals may receive both
agency-directed and consumer-directed personal assistance as long as the two
service models do not overlap the same days and times.
5. Individuals choosing the consumer-directed
option for respite service may receive support from a services facilitator and
shall meet requirements for consumer direction as described in 12VAC30-122-150.
C. Service units and service limitations.
1. The unit of service
shall be one hour. Respite service shall be limited to 480 hours per individual
per state fiscal year. If an individual changes waiver programs, this same
maximum number of respite hours shall apply. No additional respite hours beyond
the 480 hours maximum limit shall be approved for payment. Individuals who are
receiving respite service in the FIS or CL waivers through both the
agency-directed and consumer-directed models shall not exceed 480 hours per
year combined.
2. A person
rendering respite service for reimbursement by DMAS shall meet the requirements
set forth in 12VAC30-122-120 B..
3.
Any combination of companion service, personal assistance service, and respite
service delivered by a single assistant or companion to one individual in the
consumer-directed service model shall be limited to 40 hours per week for an
employer of record (EOR). Assistants who live with the individual, either full
time or for substantial amounts of time, shall not be restricted to only 40
hours per week for the EOR. Individuals may receive more than 40 hours per
week, if needed, of respite service from multiple assistants. The assistant
shall not provide more than 16 hours of consumer-directed services per day. The
16-hour limit shall include hours worked in one day providing a combination of
companion, personal assistance, and respite services.
4. When specified in the provider's plan for
supports, such supportive service may include assistance with IADLs. Respite
assistance shall not include skilled nursing service, with the exception of
skilled nursing tasks that are delegated pursuant to
18VAC90-19-240
through
18VAC90-19-280,
regulated in Chapters 30 (§
54.1-3000 et seq.)
and 34 (§
54.1-3400 et seq.) of
Title 54.1 of the Code of Virginia, as appropriate.
5. Respite service shall not be provided for
DMAS reimbursement to relieve staff of group homes, supported living service,
or sponsored residential service, as defined by
12VAC35-105-20, or
assisted living facilities, as defined by 22VAC40-73-10, where residential
supports are provided in shifts. Respite service shall not be provided for DMAS
reimbursement by adult foster care providers for an individual residing in that
foster home.
6. Skill development
shall not be provided with respite service.
7. The hours to be authorized shall be based
on the individual's need. Two individuals in the same home may share supports
delivered by one assistant; however, the number of hours billed shall not
exceed the number of hours the assistant worked.
8. Consumer-directed and agency-directed
respite service shall meet the same standards for service limits and
authorizations.
D. Provider requirements.
1. Providers shall
meet the requirements in 12VAC30-122-110 through 12VAC30-122-140.
2. For agency directed respite service, the
provider shall (i) be licensed by DBHDS as a center-based respite service
provider, supportive in-home respite service provider, out-of-home respite
service provider, or residential respite service provider; (ii) a
VDSS-certified foster care home for children or a VDSS-certified adult foster
care home for individuals who do not reside in that foster home; (iii) meet the
Virginia Department of Health (VDH) licensing requirements; or (iv) have
accreditation from a CMS-recognized organization to be a personal care or
respite care provider.
3. Providers
of agency-directed respite service shall have a current, signed participation
agreement with DMAS. Providers designated on this agreement shall render this
service directly and shall bill DMAS directly for Medicaid
reimbursement.
4. For respite
service, the service provider shall complete:
a. An assessment for all individuals prior to
admission to services.
b. A plan
for supports.
c. Any subsequent
reassessments or changes to the plan for supports. All changes that are
indicated for an individual's plan for supports shall be reviewed with and
agreed to by the individual and, if appropriate, the individual's
family/caregiver.
5.
Respite assistants shall:
a. Be at least 18
years of age or older;
b. Be able
to read and write English to the degree necessary to perform the expected tasks
and create and maintain the required documentation;
c. Be physically able to perform the required
tasks and have the required skills to perform services as specified in the
waiver individual's supporting documentation;
d. Have a valid Social Security Number that
has been issued to the respite service provider by the Social Security
Administration;
e. Meet the
requirements of 12VAC30-122-120 A regarding criminal record checks and, if the
waiver individual is a minor, consent to a search of the VDSS Child Protective
Services Central Registry.
f.
Understand and agree to comply with the DMAS DD Waiver requirements;
and
g. Receive tuberculosis
screening as specified in the criteria used by the VDH.
h. For consumer directed respite assistants,
be willing to attend training at the individual's or family/caregiver's
request.
6. Requirements
for agency-directed assistants
a. Providers
shall ensure that staff providing respite service meet provider training and
competency requirements as specified in 12VAC30-122-180.
b. Assistants employed by DBHDS licensed
agencies shall meet the requirements as specified in
12VAC35-105-420.
c. Assistants employed by personal care
agencies licensed by VDH or having accreditation from a CMS-recognized
organization shall have completed an educational curriculum of at least 40
hours of study related to the needs of individuals who have disabilities,
including intellectual and developmental disabilities, as ensured by the
provider prior to being assigned to support an individual. Assistants shall
have the required skills and training to perform the service as specified in
the individual's plan for supports and related supporting documentation. An
assistant's required training shall be met in one of the following ways:
(1) Registration with the Board of Nursing as
a certified nurse aide;
(2)
Graduation from an approved educational curriculum as listed by the Board of
Nursing; or
(3) Completion of the
provider's educational curriculum, as conducted by a licensed RN who shall have
at least one year of related clinical nursing experience that may include work
in an acute care hospital, public health clinic, home health agency, ICF/IID,
or nursing facility.
d.
Assistants shall have a satisfactory work record, as evidenced by two
references from prior job experiences, if applicable, including no evidence of
possible abuse, neglect, or exploitation of elderly persons, children, or
adults with disabilities.
e.
Persons functioning as assistants shall meet the requirements as specified in
12VAC5-381.
7.
Supervision shall be provided to all DSPs and respite assistants.
a. Documentation of supervision shall be
completed, signed, and dated by the supervisor and shall include, at a minimum,
the following:
(1) Date of contact or
observation;
(2) DSP contacted or
observed; and
(3) A summary of the
contact or observation.
b. When respite service is routine in nature,
that is, occurring with a scheduled regularity for specific periods of time and
offered in conjunction with personal assistance service, the supervisory visit
conducted for personal assistance service may serve as the supervisory visit
for the respite service. However, the supervisor shall document supervision of
the respite service separately. For this purpose, the same individual record
shall be used with a separate section clearly marked for respite service
documentation.
c. Based on
continuing evaluations of the assistant's performance and individual's needs,
the supervisor shall identify any gaps in the assistant's ability to function
competently and shall provide training as indicated.
8. Supervision requirements for
agency-directed respite service.
a. A
supervisor shall provide ongoing supervision of all respite assistants. For
respite providers that are licensed by DBHDS, a supervisor meeting the
requirements of
12VAC35-105-590
shall provide supervision of direct support professional staff.
b. For respite providers who are licensed by
VDH or have accreditation from a CMS-recognized organization to be a personal
care or respite care provider, the provider shall employ or subcontract with
and directly supervise an RN or an LPN, or be an RN or LPN himself, who shall
provide ongoing supervision of all assistants. The supervising RN or LPN shall
have at least one year of related clinical nursing experience that may include
work in an acute care hospital, public health clinic, home health agency,
ICF/IID, or nursing facility.
9.
For agency directed respite service provided based from the individual's home,
in addition to 12VAC30-122-490 D 7:
a. The supervisor shall make a home visit to
conduct an initial assessment prior to the start of service for all individuals
enrolled in a DD Waiver who have been approved to receive respite
service.
b. If the individual is
also attempting to access an assessment for personal assistance services, one
assessment may be conducted for both services at the same time. However, the
supervisor shall document supervision of the respite service separately. For
this purpose, the same individual record shall be used with a separate section
clearly marked for respite service documentation.
c. When the service is delivered on a routine
basis, the minimum frequency of required supervisory visits shall be every 90
days.
d. When respite service is
not received on a routine basis but is episodic in nature, the supervisor shall
conduct the initial home visit with the DSP/respite assistant immediately
preceding the start of service and make a second home visit within the respite
service period. The supervisor or services facilitator, as appropriate, shall
review the use of the respite service either every six months or upon the use
of 240 respite service hours, whichever comes first.
10. For center-based respite service, in
addition to 12VAC30-122-490 D 7, the supervisor shall provide ongoing
supervision to all DSPs/respite assistants in DBHDS-licensed settings no less
than quarterly to ensure both quality and appropriateness of the service.
11. Service facilitation
requirements for respite service shall be the same as those set forth in
12VAC30-122-150.
12. For agency
directed respite based in an individual's home, when assistants are absent or
otherwise unable to render scheduled supports to individuals enrolled in the
waiver, the provider shall be responsible for ensuring that the service
continues to be provided to the affected individuals.
13. All individuals shall have a backup plan
prior to initiating services in cases of emergency or should the provider be
unable to render services as needed. This backup plan shall be documented and
shared with the provider, services facilitator, and support coordinator at the
onset of services and updated with the provider and support coordinator as
necessary.
E. Service documentation and requirements.
1.
Agency-directed providers shall maintain records regarding each individual who
is receiving respite service.
2. At
a minimum, the records shall contain:
a. A
copy of the most recently completed age-appropriate assessment and, as needed,
an initial assessment completed by the supervisor or services facilitator prior
to or on the date service is initiated.
b. The provider and service facilitator's
plan for supports per requirements detailed in 12VAC30-122-120.
c. A written review supported by
documentation in the individual's record that is submitted to the support
coordinator at least quarterly if services are delivered that quarter with the
plan for supports if modified. For the annual review and in cases where the
plan for supports is modified, the plan for supports shall be reviewed with and
agreed to by the individual enrolled in the waiver and the individual's
family/caregiver, as appropriate;
d. Supervisor's summarizing notes recorded
and dated during any contacts with the assistant;
e. Documentation by the service supervisor in
a summary note following significant contacts with the assistant and home
visits with the individual the following:
(1)
Whether the service continues to be appropriate;
(2) Whether the plan for supports is adequate
to meet the individual's needs or changes are needed in the plan;
(3) The presence or absence of the assistant
during the supervisor's visit if not a center-based service ;
(4) Any suspected abuse, neglect, or
exploitation and to whom it was reported; and
(5) Any hospitalization or change in medical
condition, functioning, or cognitive status;
f. All correspondence to the individual and
the individual's family/caregiver, as appropriate, the support coordinator,
DMAS, and DBHDS;
g. Contacts made
with the individual's family/caregiver, physicians, providers, and all
professionals concerning the individual; and
h. The specific service delivered to the
individual enrolled in the waiver by the assistant dated the day of service
delivery and the individual's unique, specific responses as well as:
(1) For home-based respite service, the
respite assistant's arrival and departure times, in addition to the weekly
signatures of the respite assistant, individual, and the individual's family
member/caregiver, as appropriate, recorded on the last day of service delivery
for any given week to verify that respite service during that week have been
rendered.
(2) For center-based
respite service, the individual's arrival and departure times from the center,
group home, or sponsored residential site and documentation specific to
12VAC30-122-120 A 10 d.
(3)
Respite service records shall be separated from those of other nonwaiver
services, such as home health service.
(4) Progress notes shall meet the standards
contained in 12VAC30-122-120 A.
(5)
Consumer-directed documentation requirements are set forth in 12VAC30-122-500
E.
(6) Provider documentation shall
support all claims submitted for DMAS reimbursement. Claims for payment that
are not supported by supporting documentation shall be subject to recovery by
DMAS or its designee as a result of utilization reviews or
audits.
Statutory Authority: § 32.1-325 of the Code of Virginia; 42 USC § 1396 et seq.
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