{"ref":"MO-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 (the four qualification routes in 42 CFR §484.80(a), including a Missouri certified nurse assistant in good standing on the state registry), the 24-month lapse rule, the 75-hour training program content if the Agency trains aides, the competency evaluation by a registered nurse with the five skills that must be observed, the rules for unsatisfactory ratings, at least 12 hours of in-service training in each 12-month period, instructor qualifications, and when the Agency is barred from offering training or competency programs.","inShort":["You may work as a home health aide only after passing a competency evaluation done by a registered nurse.","If you qualify as a CNA, you must be in good standing on the state nurse aide registry.","Do not do any task you were rated unsatisfactory on unless an RN is directly supervising you, until you are retrained and pass again.","You need at least 12 hours of in-service training every 12 months. Dementia training counts when an RN supervises it.","Tell us if you have gone 24 months in a row without paid aide work; you would need to complete a program again."],"primaryCitation":"42 CFR §484.80(a) to (f) (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","19 CSR 30-26.010(1)(B)","RSMo §192.2495","RSMo §210.906"],"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 §484.80(i)","42 CFR §484.115(d)","42 CFR §§483.151 to 483.154"],"surveyorAsks":["Show me how this aide qualified: the training program, the competency evaluation, or the state nurse aide registry listing.","Who performed this aide's competency evaluation, and which skills were observed with a patient or pseudo-patient?"],"forms":[{"ref":"MO-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) (adopted by 19 CSR 30-26.010(1)(A)))","5. Who May Work as a Home Health Aide","6. Training Program Content (If the Agency Trains Aides)","7. Subjects Every Aide Must Be Trained and Evaluated In","8. Competency Evaluation","9. Instructors","10. In-Service Training","11. Retraining After a Supervisory Finding","12. When the Agency May Not Offer Training or Competency Programs","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":"mo-hha","state":"Missouri","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}}