Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment)

What this rule requires your agency to do

• 1A PCA supervisor may supervise no more than twenty (20) full-time PCAs, must perform alternating direct (on-site) and indirect monitoring visits on a bi-weekly basis, and must supervise PCAs within sixty (60) miles driving distance of their designated worksite (Rule 1.6.A.3.c).(Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment))
• 2E&D Waiver beneficiaries receiving PCS or In-Home Respite must allow providers to use the Mississippi Medicaid Electronic Visit Verification (EVV) system, and PCS/IHR providers must adhere to all EVV policies, rules and regulations (Rule 1.6.A.3.e).(Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment))
• 3The provider must maintain a current training plan requiring all employees to meet Division of Medicaid training requirements upon hire and annually, and maintain a personnel file on every employee/volunteer including credentialing documentation, training records, and performance reviews (Rule 1.3.B.15).(Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment))
• 4The provider must establish and maintain a physical Mississippi office (not in a personal residence) with external signage, code/ADA compliance, lockable HIPAA-compliant file storage, Monday–Friday 8am–5pm hours, and must report changes in ownership/organizational structure within ten (10) business days (Rule 1.3.B.7, B.15.e).(Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment))
• 5PCA direct-care staff and in-home respite staff must complete a mandatory curriculum training course upon hire and annually, pass a scored examination before rendering services, and pass a facility-administered initial hands-on skills assessment (Rule 1.3.C.4).(Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment))
• 6The provider must not employ individuals or volunteers with face-to-face beneficiary interaction who have been convicted of or pleaded guilty/nolo contendere to specified disqualifying felonies (Rule 1.3.B.11).(Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment))
• 7The provider must conduct registry checks before employment and monthly thereafter to ensure employees/volunteers with face-to-face beneficiary contact are not listed on the Mississippi Nurse Aide Abuse Registry or the OIG Exclusion Database, and must not employ individuals whose name appears on the registry list (Rule 1.3.B.10).(Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment))
• 8Prior to employment and every two (2) years thereafter, the provider must conduct a national criminal background check with fingerprints on all employees and volunteers participating in face-to-face interactions with beneficiaries, and maintain these records in the employee's personnel file (Rule 1.3.B.9).(Title 23: Medicaid, Part 208 — Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Elderly and Disabled Waiver (Rules 1.1–1.6, Personal Care & Provider Enrollment))