MSA 21-48 - Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual (MI Choice Waiver Chapter, January 2022)

What this rule requires your agency to do

• 1CLS providers must develop in-service training plans and ensure all workers are confident and competent in safety, body mechanics, and safe/sanitary food handling before delivering CLS services; an RN must individually train and supervise workers performing higher-level non-invasive tasks (catheter/feeding-tube maintenance, minor dressing changes, wound care) and ensure competence for each participant.(MSA 21-48 - Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual (MI Choice Waiver Chapter, January 2022))
• 2The waiver agency or provider agency must train each worker to properly perform each required task for each participant before delivering the service, and the supervisor must ensure each worker competently and confidently performs every task assigned.(MSA 21-48 - Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual (MI Choice Waiver Chapter, January 2022))
• 3Each direct service provider allowing staff to assist participants with self-medication must establish written procedures reviewed by a consulting pharmacist, physician, or RN governing that assistance, including written consent, verification of the medication regimen, staff training and authority, medication set-up, secure storage, and disposal.(MSA 21-48 - Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual (MI Choice Waiver Chapter, January 2022))
• 4Direct service providers furnishing Community Living Supports (CLS) that include ADL/personal-care, non-medical care, community-participation training, medication reminding, dementia care, or health-and-safety tasks must be supervised by an RN licensed in Michigan (or other State-approved qualified individual), and the supervisor must be available to the worker at all times the worker is furnishing CLS services.(MSA 21-48 - Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual (MI Choice Waiver Chapter, January 2022))
• 5Services paid for with MI Choice funds must not duplicate nor replace services available through the State Plan; participants must use State Plan, Medicare, or other available payers first (MI Choice is the funding source of last resort).(MSA 21-48 - Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual (MI Choice Waiver Chapter, January 2022))
• 6Individuals providing CLS must be at least 18 years old and able to communicate effectively both orally and in writing and follow instructions; family members may provide CLS but must meet the same standards as unrelated providers, and waiver agencies must not authorize MI Choice funds to pay a participant's spouse.(MSA 21-48 - Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual (MI Choice Waiver Chapter, January 2022))
• 7Providers must have previous relevant experience or training for the tasks specified and authorized in the PCSP, and the waiver agency must deem the chosen provider capable of performing the required tasks.(MSA 21-48 - Revisions to the MI Choice Waiver Chapter of the Medicaid Provider Manual (MI Choice Waiver Chapter, January 2022))