{"ref":"MO-HC-SVC-05","title":"Authorized Nurse Visits and General Health Evaluations","category":"Clinical tasks","summary":"How the Agency's nurses make the authorized nurse visits DSDS prior-authorizes: who may make them; eligibility and limits (a unit is the visit, and no more than 26 in six months); the duties at every visit, including evaluating the plan of care and reviewing it with the participant; the services a visit may include; the General Health Evaluation at least twice a year, in the 4th and 10th months after the annual assessment, uploaded by the 15th of the following month; physician contact, referrals and reports to DSDS; and documentation.","inShort":["Nurse visits happen only when DSDS has authorized them, up to 26 in six months.","At every visit, check the participant's health and review the care plan with the participant.","Do General Health Evaluations in the 4th and 10th months after the annual assessment, and upload them by the 15th of the next month.","Call the physician for orders or information; tell the physician and DSDS if skilled care is needed.","Write a note for every visit, with arrival and departure times, within five business days."],"primaryCitation":"13 CSR 70-91.010(6)","citations":["13 CSR 70-91.010(3)(D), (J)","13 CSR 70-91.010(6)(A)-(F)","13 CSR 70-91.010(5)(E)5","19 CSR 15-7.021(12)","19 CSR 15-7.021(19)(E)","19 CSR 15-7.021(21)(B)","19 CSR 15-7.021(24)(A)4-5","RSMo 192.2475.14","13 CSR 70-3.320(2)(C)2","13 CSR 70-3.030(2)(C)","MO HealthNet Personal Care Provider Manual §2.6","DSDS memo HCBS 08-26-01 (August 3, 2026)","MMAC In-Home Services General Information","MMAC In-Home Services Proposal for Contract, Section VI item 7"],"federalCitations":[],"surveyorAsks":["Show me the prior authorization for this participant's nurse visits, and the notes for each visit.","At each nurse visit, how does the nurse evaluate the plan of care and review it with the participant?"],"forms":[{"ref":"MO-HC-SVC-05-A","title":"Authorized Nurse Visit and General Health Evaluation Note"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (13 CSR 70-91.010(6))","5. Who Makes Authorized Nurse Visits","6. Eligibility, Authorization and Limits","7. Duties at Every Visit","8. Authorized Nurse Services","9. General Health Evaluations","10. Physician Contact, Referrals and Reports to DSDS","11. Documentation","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":"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}}