North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter A - AGING: IN HOME AIDE SERVICES FOR OLDER ADULTS › Section .0300 - SERVICE PROVISION › Section 06A .0302 - ASSESSMENT AND REASSESSMENT OF CLIENT

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  The purpose of the initial assessment and regular reassessments is to determine
				  each client'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 and are prerequisites to providing In-Home Aide
				  Services.
(c) An initial assessment
				  is not a prerequisite when the health or safety of a client 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 client's home
				  and must address the mental, social, environmental, economic, and physical
				  health status of the client, as well as the 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 as the client
				  and family situation warrants.
(h)
				  A review of the client and family situation must be completed by an appropriate
				  professional at least quarterly. If a reassessment is conducted, it meets the
				  requirements for a quarterly review.
(i) If the person needs Home Management tasks
				  at Levels I, II, or III, the initial assessment and reassessments must be
				  completed by a social worker or other appropriate professional such as a
				  registered nurse or registered dietitian. If a registered nurse or dietitian is
				  conducting the initial assessment or reassessment at Levels I, II, or III, and
				  the client'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 person needs Home Management tasks at Level IV, the initial assessment
				  and reassessments must be completed by a social worker.
(j) If the client 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 client'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.
Authority
					 G.S.
					 143B-181.1(c);
					 143B-181.9A;
Eff.
					 December 1, 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.