Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care)

What this rule requires your agency to do

• 1Clinical/client records must be retained retrievable for at least five years after last discharge and must document services provided with date/time in and out and confirmation of provision, supervisory-visit dates (K.A.R. 28-51-117/118), progress notes, and discharge summary; release of non-legally-required information requires the patient's/client's/guardian's written consent (K.A.R. 28-51-110).(Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care))
• 2Written assigned-duty policies for supportive care workers must cover medication, skin care, ambulation, bathing, dressing, exercise, feeding, hair care, mouth care, nail care, positioning, shaving, toileting, transfers, respiratory care, and masks and oxygen flow; ongoing training must be provided annually and documented in each worker's file (K.A.R. 28-51-117).(Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care))
• 3Background checks must be run through KDADS in accordance with K.S.A. 65-5117 (any facility under the Kansas Adult Care Home Act or Home Health Licensure Law, and staffing agencies supplying their employees, must submit CRCs through KDADS); the agency must maintain an ANE policy requiring each employee to report suspected abuse/neglect/exploitation to the KDHE hotline 1-800-842-0078 and provide ANE in-service training at hire and annually (K.A.R. 28-51-103(d)(g)).(Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care))
• 4HCBS Waiver Program Services require a Skilled Services HHA license (a supportive-care-only license does not authorize HCBS); the agency is limited to the services specified in its initial or renewal application (K.A.R. 28-51-104).(Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care))
• 5For HCBS, the licensee shall employ a supervisor available at all times, provide on-site supervision of each HCBS worker at least every three months (including an assessment of client satisfaction and adherence to the plan of care), evaluate each worker during an on-site observation at least every three months (tasks performed, relationships with patients, adherence to plan of care), and have an RN available or on-call during all hours personal care is provided plus a physician/RN/qualified health professional home visit every 60 days when personal care is provided (K.A.R. 28-51-104/118).(Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care))
• 6Each licensee providing HCBS shall ensure each HCBS worker providing personal care demonstrates competency before providing HCBS to a patient without a supervisor present, and shall reevaluate each personal-care worker annually in communication skills, observation/reporting/documentation, infection control, body-functioning changes to report, environmental safety, emergency recognition, respecting patient privacy and property, the patient's bill of rights (K.A.R. 28-51-111), safe personal hygiene/grooming techniques, and safe equipment use (K.A.R. 28-51-118).(Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care))
• 7Each supportive care worker's competencies must be assessed annually; the manager must review each client's plan of care at least every 60 days, be on-call to assist supportive care staff, and visit each client every three months to supervise each supportive care worker; supportive care workers shall not set up or administer medications (K.A.R. 28-51-117).(Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care))
• 8Personnel records for each employee must include title, signed/dated job description, licensure/certification evidence, performance evaluations within six months and annually thereafter, documented pre-employment reference checks, a health record (self-reported history, current provider health assessment, two-step TB test before client contact), the KDADS eligibility-determination request, and results of the state and national criminal history record check pursuant to K.S.A. 65-5117 (K.A.R. 28-51-103).(Home Health Agency Skilled Services Application Submission Requirements and Instruction Guide (Skilled / HCBS / Supportive Care))