BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12)

What this rule requires your agency to do

• 1The provider agency RN must have a current West Virginia RN license with licensure documentation on file covering the entire employment period (§517.8.4).(BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12))
• 2All direct care workers must complete initial training in CPR, First Aid, universal precautions, ADL/IADL assistance (provided by the agency RN), abuse/neglect/exploitation identification, HIPAA, direct care ethics, and member health and welfare; competency requires passing a graded posttest at no less than 80% (§517.8.2).(BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12))
• 3CPR, First Aid, OSHA, abuse/neglect/exploitation, and HIPAA training must be kept current, with universal precautions, abuse/neglect/exploitation, and HIPAA renewed every 12 months or less, plus four hours of annual training on direct care service delivery (§517.8.3).(BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12))
• 4Anyone providing PC services who suspects abuse, neglect, or exploitation must report immediately to WV Centralized Intake (1-800-352-6513), with an APS written report to the local DHHR office within 48 hours of the verbal referral (§517.10).(BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12))
• 5Incident Reports must be entered into the WV IMS within one business day of learning of the incident, follow-up entered within 14 calendar days, and providers must report monthly when there are no incidents (§517.10.1).(BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12))
• 6All required documentation must be maintained onsite at least five years from the date of service, and PC providers must bill daily — one claim per date of service per worker (§517.11).(BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12))
• 7Legally responsible persons (spouse or parent of a minor child) and court-appointed Legal Guardians and Conservators are prohibited from providing PC services for purposes of reimbursement (§517.8.1).(BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12))
• 8A direct-care worker must be at least 18 years of age, able to perform required tasks, and must complete the competency-based initial training before providing service and annually thereafter (§517.8.1).(BMS Provider Manual, Chapter 517 Personal Care Services — Staff Qualifications and Training, Training Documentation, Incident Management, Documentation and Record Retention, Legal Representatives (Sections 517.8–517.12))