Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016)

What this rule requires your agency to do

• 1Supervisory visits by a registered nurse or appropriate therapist must be performed at least every 60 days (4.231.4(e)(4)).(Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016))
• 2Home health aide services must be provided in accordance with a written plan of care and supervised by a registered nurse, physical therapist, occupational therapist, or speech language pathologist (4.231.4(e)(1)).(Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016))
• 3Home health services must be ordered by a physician, nurse practitioner, clinical nurse specialist, or physician assistant enrolled in Vermont Medicaid and working within scope of practice (4.231.3(b)).(Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016))
• 4Items and services shall be ordered under a written plan of care approved by the ordering provider, including diagnosis/functional limitation, type and frequency of services, long-term prognosis, and the ordering provider's certification (4.231.4(b)(1)).(Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016))
• 5Home health agency providers must be Medicare certified and enrolled in Vermont Medicaid (4.231.3(a)).(Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016))
• 6A home health agency must meet the requirements for participation in Medicare and comply with the Vermont regulations for the designation and operation of home health agencies (4.231.1(a)).(Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016))
• 7For initiation of home health services, a qualified provider must conduct a face-to-face encounter with the beneficiary no more than 90 days prior to, or 30 days after, the start of services, documented as required (4.231.4(c)).(Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016))
• 8The plan of care shall be reviewed by the ordering provider, in consultation with home health agency personnel, at least every 60 days (4.231.4(b)(4)).(Health Care Administrative Rules (HCAR) 4.231 — Home Health Services (GCR 21-016))