WAC 246-335-440 — Home care plan of care (In-Home Services Agencies — Home Care)

What this rule requires your agency to do

• 1For one-time visits, the agency must document client identifying information, confirmation of the written bill of rights, client consent, and services provided in lieu of the full plan of care (WAC 246-335-440(5)).(WAC 246-335-440 — Home care plan of care (In-Home Services Agencies — Home Care))
• 2Agencies contracted with the AAA for Medicaid clients may use the DSHS CARE assessment details and service summary as the plan of care only if it covers all items in subsection (3) (WAC 246-335-440(6)).(WAC 246-335-440 — Home care plan of care (In-Home Services Agencies — Home Care))
• 3The licensee must implement a system to inform the supervisor of direct care services of changes in the client's condition indicating a need to update the plan of care (WAC 246-335-440(4)(b)).(WAC 246-335-440 — Home care plan of care (In-Home Services Agencies — Home Care))
• 4The plan of care must be reviewed on-site, updated, approved and signed by appropriate agency personnel and the client (or representative) every twelve months and whenever significant changes to client care needs are identified (WAC 246-335-440(4)(a)).(WAC 246-335-440 — Home care plan of care (In-Home Services Agencies — Home Care))
• 5Each plan of care must be developed by appropriately trained or credentialed agency personnel, list services requested or recommended, and be based on an on-site visit (WAC 246-335-440(2)).(WAC 246-335-440 — Home care plan of care (In-Home Services Agencies — Home Care))
• 6The plan of care must include functional limitations, nutritional needs and food allergies, home medical equipment and supplies, indication of a signed advance directive or POLST if applicable, nurse delegation tasks if applicable, and specific nonmedical services and their frequency (WAC 246-335-440(3)).(WAC 246-335-440 — Home care plan of care (In-Home Services Agencies — Home Care))
• 7The licensee must develop and implement a written home care plan of care for each client with input and written approval by the client, designated family member, or legal representative (WAC 246-335-440(1)).(WAC 246-335-440 — Home care plan of care (In-Home Services Agencies — Home Care))