19 CSR 15-7.021 In-Home Service Standards

What this rule requires your agency to do

• 1New aides, respite workers, and homemakers must complete 12 hours of orientation within 30 days (minimum 6 hours before first participant contact, including 2 hours agency orientation and Alzheimer's/dementia training) and 5 hours of annual in-service after the first 12 months.(19 CSR 15-7.021 In-Home Service Standards)
• 2Services must follow a state-approved care plan developed with and signed by the participant, listing tasks, frequency, and maximum units per month; the provider must always have an active care plan and only the division may increase maximum units.(19 CSR 15-7.021 In-Home Service Standards)
• 3The provider must give each employee a distributed written code of ethics and each participant a written statement of participant rights, and report abuse/neglect/exploitation to the Adult Abuse Hotline (1-800-392-0210).(19 CSR 15-7.021 In-Home Service Standards)
• 4All employees must be registered with the Family Care Safety Registry, and advanced personal care aides and advanced respite workers must be an LPN, CNA, competency-evaluated home health aide (42 CFR 484.80), or have documented personal care aide training.(19 CSR 15-7.021 In-Home Service Standards)
• 5Records must be maintained in a central location for 5 years and provided to department staff on request, including participant case/clinical records, personnel records, and documentation of each EDL and criminal background screening.(19 CSR 15-7.021 In-Home Service Standards)
• 6The provider must initiate services within 10 calendar days of authorization and, when discontinuing due to noncompliance or inability to continue, give 21-day written notice of discharge to the participant/family and division.(19 CSR 15-7.021 In-Home Service Standards)
• 7Before MMAC approval, the provider must designate a manager who completes the free MMAC provider certification course, with new managers completing it within 6 months of hire, plus annual MMAC-sponsored update training.(19 CSR 15-7.021 In-Home Service Standards)
• 8The provider must maintain commercial general liability insurance (occurrence, minimum 1 million dollars per event and 3 million aggregate, naming MMAC as certificate holder), professional liability, and an employee dishonesty bond, and monitor and discharge employees on the Employee Disqualification List.(19 CSR 15-7.021 In-Home Service Standards)
• 9A unit of in-home service equals 15 minutes of direct in-home service by a trained worker (including EVV entry time); no travel, lunch, breaks, or administrative time may be billed, and invoices may not exceed actual delivered units.(19 CSR 15-7.021 In-Home Service Standards)
• 10Each employee's personnel record must contain written documentation of all basic and in-service training (dates, trainer, topics, hours, location, first-contact date, aide signature) and any training waiver documentation.(19 CSR 15-7.021 In-Home Service Standards)