Injections must be administered by a licensed nurse or physician except that insulin injections may be given by a certified medication technician or a Level I medication aide. Reimbursement Personal care and advanced personal care services are reimbursed as a Medicaid state plan service in residential care facilities. The payment varies by resident based on an assessment and a plan of care completed by a case manager from the Division of Aging. The actual number of hours authorized ranges from five to six hours to 70 or 80 hours a month. The average number of hours authorized is 25 to 30 hours a month.
Facilities can set their own rates.
Training Administrators . They must also successfully complete a state approved Level I Medication Aide course unless a fu11-time licensed nurse is available. Licenses are not required for administrators of RCF I facilities, although annual attendance at in-service training sessions is required. A statement must be included in the personnel record of each employee that the employee was instructed on resident's rights, facility's policies, and job duties and that orientation was received. Staff administering medications receive a certificate after completing a designated course developed by the University of Missouri-Columbia.