{"ref":"MO-HC-HR-06","title":"Contracted Workers, Subcontracts, and Volunteers","category":"Human resources","summary":"Sets the conditions for using anyone other than an Agency employee to deliver or support care: subcontracts only during staff shortages, meeting the same standards, with MMAC approval where required; never subcontracting the registered nurse's required duties; a signed agreement for every contracted direct care worker; E-Verify assurances from subcontractors; and the written plan for volunteers.","inShort":["Anyone who is not an Agency employee but gives care must sign an agreement and meet the same screening and training rules.","The Agency uses subcontracted staff only during staff shortages, and only with MMAC approval when required.","The Agency's registered nurse is always an Agency employee.","Volunteers are screened and trained before meeting participants, and do not give personal care.","If someone who is not on the schedule comes to give care, call the office."],"primaryCitation":"19 CSR 15-7.021(21)(D)","citations":["19 CSR 15-7.021(2)","19 CSR 15-7.021(18)(N)","19 CSR 15-7.021(21)(D)","19 CSR 15-7.005(25)","19 CSR 15-7.010(4)(B), (D)","19 CSR 15-7.010(10)","19 CSR 15-7.021(18)(E)","MMAC In-Home Services Program Requirements 4.5","MMAC In-Home Services Program Requirements 4.7, 4.7.1(a)-(c)","RSMo 285.530.1, .5","RSMo 210.906.5","19 CSR 10-2.010"],"federalCitations":[],"surveyorAsks":["Do any non-employees deliver care? Show me their signed agreements and screening.","Did MMAC approve this subcontract before it was finalized?"],"forms":[{"ref":"MO-HC-HR-06-A","title":"Subcontract and Contracted Worker Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 15-7.021(21)(D))","5. When a Subcontract May Be Used","6. Requirements for Every Contracted Worker","7. Volunteers","8. Responsibilities","9. Records and Compliance Monitoring","10. Staff Training","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"mo-hca","state":"Missouri","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}}