Wisconsin Administrative Code › Department of Health Services › DHS 101-109 - Medical Assistance › Chapter DHS 105 - Provider Certification › Section DHS 105.16 - Home health agencies

Current through June 24, 2024
For MA certification, a home health agency shall be
				  certified to participate in medicare as a home health agency, be licensed
				  pursuant to ch. DHS 133 and meet the requirements of this section as
				  follows:
(1) HOME HEALTH AGENCY
				SERVICES. For MA certification, a home health agency shall provide part-time,
				intermittent skilled nursing services performed by a registered nurse or
				licensed practical nurse and home health aide services and may provide physical
				therapy, occupational therapy, speech and language pathology services and
				medical supplies and equipment. Services may be provided only on visits to a
				recipient's home and that home may not be a hospital or nursing home. Home
				health services shall be provided in accordance with a written plan of care,
				which the physician shall review at least every 62 days or when the recipient's
				medical condition changes, whichever occurs first.
(1m) ELECTRONIC VISIT VERIFICATION. The home
				health provider is required to capture and retain EVV records.
(2) HOME HEALTH AIDES.
(a)
Assignment and duties.
Home health aides shall be assigned to specific recipients by a registered
				nurse. Written instructions for patient care shall be prepared by a registered
				nurse, a physical or occupational therapist or a speech and language
				pathologist, as appropriate. Duties shall include medically oriented tasks,
				assistance with the recipient's activities of daily living and household tasks
				as specified in s.
				DHS 107.11 (2)
				(b) and further described in the Wisconsin
				medical assistance home health agency provider handbook.
(b)
Supervision.
A
				registered nurse shall make supervisory visits to the recipient's home as often
				as necessary, but at least every 60 days, to review, monitor and evaluate the
				recipient's medical condition and medical needs according to the written plan
				of care during the period in which agency care is being provided. The RN shall
				evaluate the appropriateness of the relationship between the direct care giver
				and the recipient, assess the extent to which goals are being met, and
				determine if the current level of home health services provided to the
				recipient continues to be appropriate to treat the recipient's medical
				condition and if the services are medically necessary. The supervising RN shall
				discuss and review with the recipient the services received by the recipient
				and discuss the results of the supervisory visit with the LPN, home health aide
				or personal care worker. The results of each supervisory visit shall be
				documented in the recipient's medical record.
(c)
Training.
Home health
				aides shall be trained and tested in accordance with the requirements of s.
				146.40, Stats., and ch. DHS 129.
				Aides shall not be assigned any tasks for which they are not trained, and
				training and competency in all assigned tasks shall be documented and made part
				of the provider's records.