{"ref":"MI-HH-AID-01","title":"Home Health Aide Qualifications, Training, and Competency Evaluation","category":"Clinical tasks","summary":"Sets out who may work as a home health aide for the Agency and how the Agency proves it: the four routes to qualification in 42 CFR §484.80(a), the 24-month lapse rule, the 75-hour training program content and its classroom and practical hours, the competency evaluation an RN performs before an aide furnishes any service (with the tasks that must be observed), the 12 hours of in-service training each 12 months, instructor qualifications, the sanctions that bar an agency from running a program, and the records the Agency keeps. Michigan has no separate state training rule for home health aides; Michigan Medicaid adopts the federal standard.","inShort":["You may work as a home health aide only after you pass a competency evaluation done by an RN.","Some tasks, such as bathing, transfers and taking temperature, pulse and breathing, must be watched by the RN.","If a task is rated unsatisfactory, do it only with an RN present until you are retrained and pass.","You need at least 12 hours of in-service training every 12 months.","If you go 24 months in a row without paid aide work, you must complete a program again."],"primaryCitation":"42 CFR §484.80(a) to (f)","citations":["MCL 333.20173a","Michigan Medicaid Provider Manual, Home Health, Section 10.2"],"federalCitations":["42 CFR §484.80(a)","42 CFR §484.80(b)","42 CFR §484.80(c)","42 CFR §484.80(d)","42 CFR §484.80(e)","42 CFR §484.80(f)","42 CFR §484.115(d)","42 CFR §484.80(i)"],"surveyorAsks":["Show me how this aide qualified: training and competency, competency only, or the nurse aide registry.","Show me the competency evaluation, who performed it, and which tasks were observed with a patient or pseudo-patient."],"forms":[{"ref":"MI-HH-AID-01-A","title":"Home Health Aide Competency Evaluation Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.80(a) to (f))","5. Verifying Qualification at Hire","6. The 24-Month Lapse Rule","7. Training Program Content and Hours","8. Competency Evaluation","9. Annual In-Service Training","10. Retraining After a Deficiency","11. Instructors","12. Whether the Agency May Run a Program","13. Medicaid Personal Care Aide-Only Services","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"mi-hha","state":"Michigan","service":"Home health","guides":[{"path":"/guides/staff-policy-acknowledgment/","h1":"Staff policy acknowledgment: how read-and-sign works in home care"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}