North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter X - STATE IN-HOME SERVICES FUND: IN-HOME AIDE SERVICES › Section .0200 - PROGRAM REQUIREMENTS › Section 06X .0206 - ASSESSMENT AND REASSESSMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The purpose of the initial assessment and
				  regular reassessments is to determine each individual's or family's level of
				  functioning and determine or confirm the need for In-Home Aide
				  Services.
(b) The initial
				  assessment and reassessments must be conducted by an appropriate professional,
				  which means a social worker, registered nurse, registered dietitian or
				  certified nutritionist, physical therapist and occupational therapist. The
				  initial assessment and reassessments are prerequisites to providing In-Home
				  Aide Services.
(c) An initial
				  assessment is not a prerequisite when the health, safety, or well-being of an
				  individual or family is at risk. In these instances the initial assessment must
				  be completed within five working days of the onset of services.
(d) The initial assessment and reassessment
				  must be conducted in the individual's or family's home and must address the
				  mental, social, environmental, economic, and physical health status of the
				  individual or family, as well as an individual's ability to perform activities
				  of daily living (ADL's) and instrumental activities of daily living
				  (IADL's).
(e) The initial
				  assessment and reassessments must be signed and dated by the professional
				  responsible for assuring the completion of the initial assessment and
				  reassessments.
(f) An initial
				  assessment must be completed prior to the professional's development of an
				  In-Home Aide Service Plan.
(g) A
				  full reassessment must be completed at least every 12 months or earlier if the
				  appropriate professional, as specified in Paragraph (b) of this Rule,
				  determines that the family's or individual's needs have increased or decreased
				  due to changes in one or more of the functional areas listed in Paragraph (d)
				  of this Rule.
(h) A review of the
				  individual's or family's situation must be completed by an appropriate
				  professional as specified in Paragraph (b) of this Rule at least quarterly.
				  When Level II or III - Personal Care tasks are provided to a client, the
				  quarterly review must be conducted in the client's home. If a reassessment is
				  conducted, it meets the requirements for a quarterly review.
(i) If the individual or family needs Home
				  Management tasks at Level I or II, the initial assessment and reassessments
				  must be completed by an appropriate professional, as specified in Paragraph (b)
				  of this Rule. If a professional other than a social worker is conducting the
				  initial assessment or reassessment at Level I or II, and the individual's or
				  family's social needs appear more extensive than the assessor is able to
				  adequately evaluate, then a social worker must be consulted for further input.
				  If the individual or family needs Home Management tasks at Level III or IV, the
				  initial assessment and reassessments must be completed by a social
				  worker.
(j) If the individual or
				  family needs Personal Care tasks at Level III, a registered nurse must complete
				  the physical health status and the ADL portions of the initial assessment and
				  reassessments. For Level II Personal Care tasks, if a social worker or
				  registered dietitian is conducting the initial assessment or reassessment and
				  the individual's or family's personal care needs appear more extensive than the
				  assessor is able to adequately evaluate, then an appropriate health
				  professional must be consulted for further input.
(k) Consultation with a registered nurse is
				  required for Level II clients receiving Personal Care tasks if the client's
				  personal care needs have increased due to changes in a medically related
				  problem to determine the appropriate level of In-Home Aide Services.
Authority
					 G.S.
					 143B-153;
Eff. December 1,
					 1991;
Amended Eff. September 1, 1993;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.