13 CSR 70-91.010 Personal Care Program

What this rule requires your agency to do

• 1APC aides must be an LPN, CNA, competency-evaluated home health aide (per 42 CFR 484.80), or have completed personal care aide training, plus a minimum of 6 hours of additional APC training before performing APC tasks; each non-nurse APC aide must have an RN/LPN/GN personally observe and certify successful task execution in the personnel record, and RN on-site evaluation visits for APC participants must occur at intervals no greater than 6 months.(13 CSR 70-91.010 Personal Care Program)
• 2Aides must receive an additional 5 hours of in-service training annually after the first 12 months of employment (reducible to 2 hours of refresher training after 3 years employed and 15 in-service hours completed), and in-service curricula must include Alzheimer's disease and related dementia updates.(13 CSR 70-91.010 Personal Care Program)
• 3The provider must employ an administrative supervisor at least 21 years of age who is an RN, or holds a baccalaureate degree, or is an LPN with at least 1 year of relevant experience, or has at least 2 years of relevant care experience; if the supervisor is not an RN, the agency must have a Missouri-licensed RN on staff or as a consultant.(13 CSR 70-91.010 Personal Care Program)
• 4The provider must maintain written documentation of all basic and in-service training in each employee's personnel record, documenting dates, trainer's name, topics, hours, location, date of first participant contact, and the aide's signature.(13 CSR 70-91.010 Personal Care Program)
• 5For newly employed aides, the provider must provide at least 12 hours of orientation training within 30 days of employment, including at least 2 hours of agency orientation/emergency protocols and a minimum of 6 hours completed prior to participant contact.(13 CSR 70-91.010 Personal Care Program)
• 6The administrative supervisor must monitor service delivery through at least a monthly review comparing the worker's service records to the personal care plan, and make an on-site visit at least annually to evaluate each worker's performance and service-plan adequacy, with a signed/dated written evaluation kept in the personnel file (failure may result in recoupment of payments).(13 CSR 70-91.010 Personal Care Program)
• 7The provider of personal care services must have a valid Title XIX participation agreement with DSS/MMAC and be approved as a Title XX in-home services provider (maintaining that approval), or for RCFs a valid state RCF license, to remain qualified for the Personal Care Program.(13 CSR 70-91.010 Personal Care Program)
• 8In-home personal care workers must be at least 18 years of age, able to read/write and follow directions, and must not be a family member (spouse, parent, sibling, child, grandparent, or grandchild) of the participant served.(13 CSR 70-91.010 Personal Care Program)