KAR 28-51-104 — Home health services, HCBS, and supportive care services

What this rule requires your agency to do

• 1Policies must prohibit supportive care workers from setting up medications or administering medications, and require all personnel serving a client to maintain communication with the manager; a manager must be on-call and must visit each client every three months to supervise supportive care workers (subsection (c)(3)(H)-(K)).(KAR 28-51-104 — Home health services, HCBS, and supportive care services)
• 2For supportive care clients the agency must adopt admission-criteria and scope-of-practice policies consistent with K.S.A. 65-5101, have a manager assess the client and develop a plan of care reviewed at least every 60 days, and keep progress notes in the client record (subsection (c)(3)(A)-(C), (F), (G)).(KAR 28-51-104 — Home health services, HCBS, and supportive care services)
• 3Each licensee must maintain and make available to surveyors clinical/client records and personnel records documenting training, qualifications, performance evaluations, and background-check clearance, plus copies of all required policies and procedures (subsections (d), (e)).(KAR 28-51-104 — Home health services, HCBS, and supportive care services)
• 4Supportive care workers must be trained to competency in the nine listed areas (communication, observation/reporting/documentation, infection control, body-function changes, safe environment, emergencies, client needs, respect/privacy/property, and safe personal-hygiene technique) (subsection (c)(3)(D)).(KAR 28-51-104 — Home health services, HCBS, and supportive care services)
• 5An agency may provide services to a patient/client only when it reasonably expects the person's medical/rehabilitation/social or client needs can be adequately met in the person's place of residence, and only within the services specified on its application (subsections (a), (b)).(KAR 28-51-104 — Home health services, HCBS, and supportive care services)
• 6For each home health patient the agency must obtain a physician/APRN/PA order, an RN (or PT) assessment, and an RN- or PT-developed written plan of care reviewed at least every 60 days (subsection (c)(1)(A)-(C), (F)).(KAR 28-51-104 — Home health services, HCBS, and supportive care services)
• 7For home health patients the agency must have a registered nurse available or on-call during all hours services are provided, and ensure a physician/RN/qualified health professional visits each patient's home every two weeks when nursing or therapy is provided (every 60 days if only personal care) (subsection (c)(1)(J), (K)).(KAR 28-51-104 — Home health services, HCBS, and supportive care services)
• 8For HCBS patients the agency must maintain a plan of care, train staff to deliver it, document HCBS in the clinical record, keep an RN available/on-call during all hours personal care is provided, and ensure a physician/RN/qualified professional home visit every 60 days (subsection (c)(2)).(KAR 28-51-104 — Home health services, HCBS, and supportive care services)