471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties

What this rule requires your agency to do

• 1Agency providers must allow DHHS to review agency hiring/reporting policies to ensure appropriate abuse, neglect, and law-violation procedures are in place (§ 003.02(A)(xiv)).(471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties)
• 2Providers must not engage in or have an ongoing history of criminal activity harmful to those served, including a substantiated listing as a perpetrator on the child/adult abuse-neglect central registries (§ 003.02(A)(xiii)); Medicaid providers are subject to Adult and Child Protective Services Central Registry checks (§ 003.02(D)(i)).(471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties)
• 3Specialized provider status requires passing the Nebraska certified nurse aide equivalency test, RN/LPN licensure, or 4,160 hours of PAS experience, with evidence provided to DHHS (§ 003.02(B)).(471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties)
• 4Providers must retain all enrollment, service, and financial records for at least a six-year retention period and allow federal/state/local review and on-site audits (§ 003.02(A)(v)–(vi); § 003.02(H)(x)).(471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties)
• 5Providers must report all incidents with reasonable cause to believe a client was subjected to abuse, neglect, or exploitation to law enforcement and DHHS (§ 003.02(A)(xviii)).(471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties)
• 6Providers must have the knowledge, experience, and skills necessary to perform patient care tasks AND Electronic Visit Verification (EVV) (§ 003.02(A)(xv)).(471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties)
• 7Providers must comply with all provider participation requirements in 471 NAC 1, 2, and 3, and follow Department policies in NAC Titles 465, 471, 473, 474, and 480, billing only for authorized and actually provided services (§ 003.02(A)(i)).(471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties)
• 8Providers must accurately document services in the provider EVV system, submit electronic claims, and confirm services were received in the manner authorized per Department procedures (§ 003.02(H)(vii)–(viii)).(471 NAC Chapter 15, Section 471-15-003 — Provider Requirements (Personal Assistance Services), incl. Electronic Visit Verification duties)