{"ref":"LA-HC-SP-03","title":"Coordination of Services, Changes in Condition, and Service Requests","category":"Service delivery","summary":"Sets how the Agency coordinates each client's care with other providers and caregivers, how direct care workers report a change in a client's condition to a supervisor immediately and a client's request for services or a change in services within the time the rule sets, how supervisors make sure a significant change is reported so the client gets medical attention, and how hospital stays, interruptions of LT-PCS, status change assessments and out-of-state travel are handled.","inShort":["In an emergency, call 911 first, then your supervisor.","Call your supervisor right away, before you leave the home, about any change in the client's health, behavior or home.","Pass on any request for new or different services to your supervisor the same day.","Write what you saw, when, and who you told in the progress note or service log.","Tell your supervisor when a client goes into the hospital or plans to travel; LT-PCS travel out of state needs OAAS approval first."],"primaryCitation":"LAC 48:I.5041.J","citations":["LAC 48:I.5041.J","LAC 48:I.5041.I","LAC 48:I.5039.B.4","LAC 48:I.5039.B.6","LAC 48:I.5003","LAC 48:I.5043.D","LAC 48:I.5055.G","LAC 48:I.5055.G.3","LAC 48:I.5055.G.4","LAC 48:I.5055.G.5","LAC 48:I.5055.G.6","LAC 48:I.5055.H.1.k","LAC 48:I.5057.A.9","LAC 48:I.5057.A.10","LAC 48:I.5037.H.1","Medicaid Services Manual, Chapter 30, §30.6","Medicaid Services Manual, Chapter 30, §30.7","Medicaid Services Manual, Chapter 30, §30.8","Medicaid Services Manual, Chapter 30, §30.9","OAAS-PC-21-004, Direct Service Provider Critical Incident Report Guide"],"federalCitations":["45 CFR §164.506"],"surveyorAsks":["A worker notices that a client is suddenly confused. What does the worker do, and what does the supervisor do?","Show me how a client's request for a change in services reached a supervisor, and when."],"forms":[{"ref":"LA-HC-SP-03-A","title":"Change in Condition and Service Request Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I.5041.J)","5. Coordinating With Other Providers and Caregivers","6. Recognizing a Change in Condition","7. What the Worker Does","8. What the Supervisor Does","9. Requests for Services or a Change in Services","10. Hospital Stays and Interruptions of Services","11. Travel and Services Outside the Region","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. 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}}