{"ref":"LA-HC-SP-02","title":"Scheduling, Back-Up Staffing, and Missed Visits","category":"Service delivery","summary":"Sets how the Agency schedules direct care workers to meet each client's individual service plan, gives every client a written individualized back-up staffing plan and agreement before services begin, keeps at least one trained and qualified back-up worker for each client, and handles worker call-outs, late arrivals and missed visits so that no client is left without needed care.","inShort":["Every client has a written back-up staffing plan, given before services begin, and at least one trained back-up worker.","If you cannot work a visit, call the office or on-call line and the client as soon as you know.","Never send a friend or relative in your place, and never swap visits without the scheduler's approval.","If you will be late, call before the start time. Clock in and out through EVV on every visit.","Never leave a client who cannot safely be left alone until a back-up worker, family helper or emergency services arrive."],"primaryCitation":"LAC 48:I.5055.E.3","citations":["LAC 48:I.5055.E.1","LAC 48:I.5055.E.2","LAC 48:I.5055.E.3","LAC 48:I.5055.G.2","LAC 48:I.5081","LAC 48:I.5081.A","LAC 48:I.5081.B","LAC 48:I.5005.E.3","LAC 48:I.5031.D.3","LAC 48:I.5038","LAC 48:I.5041.G","LAC 48:I.5049.A.24","LAC 48:I.5053.A","LAC 48:I.5053.D","LAC 48:I.5061.B","LAC 48:I.5063.E.3","Medicaid Services Manual, Chapter 30, §30.6","Medicaid Services Manual, Chapter 30, §30.7","Medicaid Services Manual, Chapter 30, §30.8","LDH EVV Policy and Procedures (OAAS-ADM-23-001 / OCDD-A-23-005)"],"federalCitations":["42 U.S.C. §1396b(l)"],"surveyorAsks":["Show me this client's back-up staffing plan and agreement. When was it given to the client and, for a waiver participant, to the support coordinator?","Who is the trained back-up worker for this client? Show me that the back-up worker was trained on the client's plan."],"forms":[{"ref":"LA-HC-SP-02-A","title":"Individualized Back-Up Staffing Plan and Agreement"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I.5055.E.3)","5. Scheduling","6. The Individualized Back-Up Staffing Plan and Agreement","7. Back-Up Workers","8. When a Worker Cannot Work a Visit","9. Late Arrivals and Missed Visits","10. Emergencies During a Shift","11. Keeping the Plan Current","12. Declared Emergencies and Evacuated Clients","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"la-hca","state":"Louisiana","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}