MO HealthNet Personal Care Provider Manual

What this rule requires your agency to do

• 1Personal care providers must have a valid Title XIX Participation Agreement in effect with DSS/MMAC and enroll as an approved SSBG/GR provider or a DHSS-licensed RCF/ALF, maintaining that approval/license.(MO HealthNet Personal Care Provider Manual)
• 2Providers must ensure all employees are registered with the DHSS Family Care Safety Registry (FCSR), conduct a criminal background screening (192.2495 RSMo), check the EDL prior to employment, and retain all background screenings (electronically or on paper) available upon request; OIG LEIE monthly checks are encouraged.(MO HealthNet Personal Care Provider Manual)
• 3Newly employed personal care aides must receive a minimum of 12 hours of basic orientation training, completed within 30 days of first employment, with at least 6 hours completed before first participant contact and at least 2 hours of orientation to the provider and emergency protocols.(MO HealthNet Personal Care Provider Manual)
• 4The designated administrative supervisor must monitor service delivery at least monthly (comparing aide records to the care plan) and make an on-site visit at least annually to evaluate each aide's performance and care-plan adequacy, with a signed/dated written record kept in the aide's personnel file; failure to perform/document may result in recoupment.(MO HealthNet Personal Care Provider Manual)
• 5Providers must utilize an EVV system (per the 21st Century CURES Act and 13 CSR 70-3.320) for all in-home agency-model and CDS personal care, register their EVV vendor, log onto the EAS at least weekly to verify timely accurate visit data, and report suspected data falsification to MMAC (EVV does not apply to RCF/ALF services).(MO HealthNet Personal Care Provider Manual)
• 6All personal care aides must receive 5 hours of in-service training annually after the first 12 months of employment (reducible to 2 hours of refresher training after 3 years of employment and 15 completed in-service hours), and in-service curricula must include Alzheimer's/dementia updates per 192.2000 RSMo.(MO HealthNet Personal Care Provider Manual)
• 7APC aides must receive a minimum of 6 hours of APC training before providing any APC tasks (in addition to basic training), and must demonstrate competency on each APC task in an on-the-job session conducted and documented by an RN, LPN, or GN before performing that task, unless a licensed nurse.(MO HealthNet Personal Care Provider Manual)
• 8Each MO HealthNet Personal Care provider must have an RN available to perform required nurse-supervision functions (some delegable to an LPN/GN under RN direction), and must maintain participant case records and individual aide personnel records (confidential, protected) containing the required documentation including training, evaluations, and background screening.(MO HealthNet Personal Care Provider Manual)