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Utah Medicaid Provider Manual, Personal Care Services, Section 8-2.2 (Plan of Care) and 8-2.3 (Supervision by a Registered Nurse)

Utahsub-regulatoryUtah Department of Health and Human Services, Division of Integrated Healthcare (Utah Medicaid)

What this rule requires your agency to do

  • 1The provider must ensure the plan of care includes the diagnosis(es) supporting the medical need for PCS, patient status (mental/cognitive status and functional limitations), service need (frequency/duration, personal care tasks, equipment, medications), discharge planning or referral, other identified appropriate services, and identification of support systems. (§ 8-2.2)(§ 8-2.2)
  • 2The provider must have the care plan signed by an RN and included in the agency's permanent record for the member. (§ 8-2.2)(§ 8-2.2)
  • 3The provider must have the RN make a supervisory visit to the member's residence at least once every 60 days to ensure adequate care is provided according to the written plan of care. (§ 8-2.3)(§ 8-2.3)
  • 4The provider must make changes to the care plan in writing and document verbal orders in writing on or before the following care plan review. (§ 8-2.2)(§ 8-2.2)
  • 5The provider must have an RN perform a new nursing assessment and review and revise the plan of care as medically appropriate every 60 days, as the certification period for each plan of care is 60 days. (§ 8-2.2)(§ 8-2.2)
  • 6The provider must deliver personal care services according to a written plan of care developed by agency staff in consultation with the physician and their orders. (§ 8-2.2)(§ 8-2.2)

Applies to: personal care

Utah Medicaid requires personal care services (PCS) to be delivered under a written plan of care developed by agency staff in consultation with the physician. The plan must contain specified content (diagnoses, patient status, service need, discharge/referral, other services, support systems), be signed by an RN, kept in the permanent member record, and reviewed/revised every 60 days following a new RN nursing assessment. An RN must make a supervisory home visit at least every 60 days.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.