Kansas Administrative Regulations › Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT › Article 51 - HOME HEALTH AGENCY LICENSURE › Section 28-51-104 - Home health services, HCBS, and supportive care services

Current
			 through Register Vol. 43, No. 28, July 11, 2024
(a) Each home health agency shall provide
			 home health services, HCBS, and supportive care services to a patient or client
			 only when the home health agency reasonably expects that the patient's medical,
			 rehabilitation, and social needs or the client's needs can be met adequately by
			 the home health agency in the patient's or client's place of
			 residence.
(b) Each home health
			 agency shall be limited to the home health services, HCBS, and supportive care
			 services specified by the home health agency's initial application or renewal
			 application.
(c)
(1) Each licensee issued a license that
			 indicated on the licensee's initial application or renewal application that the
			 licensee intends to provide home health services shall provide the following
			 for each patient:
(A) An order from the
			 patient's physician, nurse practitioner, clinical nurse specialist, or
			 physician assistant;
(B) an
			 assessment of the patient by a registered nurse or physical therapist if only
			 physical therapy will be provided;
(C) a plan of care for the patient developed
			 by the registered nurse or physical therapist based upon the patient's
			 needs;
(D) training of appropriate
			 staff to deliver the plan of care in accordance with the home health agency
			 regulations in this article of the department's regulations;
(E) written policies and procedures regarding
			 the provision of skilled care services and, if offered, separate written
			 policies for supportive care services or HCBS;
(F) a written plan of care for each patient
			 that is reviewed at least every 60 days by a registered nurse or physical
			 therapist as required by the home health agency regulations in this article of
			 the department's regulations;
(G) a
			 clinical record for each patient that includes progress notes for the
			 patient;
(H) a policy indicating
			 who can administer medications;
(I)
			 policies and procedures indicating that all personnel providing services to the
			 same patient shall maintain communication with the registered nurse or physical
			 therapist employed by the home health agency to ensure that all home health
			 services support the plan of care;
(J) a registered nurse, who shall be
			 available or on-call to the staff to serve patients during all hours that home
			 health services are provided;
(K) a
			 visit by a physician, a registered nurse, or a qualified health professional to
			 each patient's home every two weeks to supervise home health services if
			 nursing or therapy services, or both, are being provided to the patient. This
			 visit may be made less often if only personal care is provided to a patient and
			 documented in the clinical record. If only personal care is provided, a
			 supervisory visit shall be made at least every 60 days; and
(L) written instructions for the home health
			 services to be provided to each patient prepared by a qualified health
			 professional.