{"ref":"NC-HH-AID-01","title":"Home Health Aide Qualifications, Training, Competency Evaluation, and Registry Listing","category":"Clinical tasks","summary":"Allows only qualified home health aides to give care: each aide has completed training and a competency evaluation meeting 42 CFR §484.80 and is listed on the North Carolina Nurse Aide I Registry (or as a Nurse Aide II on both registries), has not had a 24-month break from paid aide work, has shown each assigned task to a registered nurse, and completes at least 12 hours of in-service training every 12 months. Sets the content of any training or competency evaluation program the Agency runs.","inShort":["You must be listed on the North Carolina Nurse Aide I Registry (or as a Nurse Aide II) before you care for any patient.","A registered nurse must watch you do each task before you are assigned it.","If you are rated unsatisfactory on a skill, you do not do that task alone until you are retrained and pass again.","Complete at least 12 hours of in-service training every 12 months. If you fall short, you come off the schedule.","If you have not worked for pay as an aide for 24 months in a row, you must qualify again before giving care."],"primaryCitation":"42 CFR §484.80","citations":["10A NCAC 13J .0901","10A NCAC 13J .1003(f)","10A NCAC 13J .1003(g)","10A NCAC 13J .1107(b)","10A NCAC 13J .1110(a)","10A NCAC 13J .1110(b)","G.S. 131E-255","10A NCAC 13O .0301","21 NCAC 36 .0403","NC Medicaid Clinical Coverage Policy 3A"],"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(h)(5)","42 CFR §484.80(i)","42 CFR §484.115(d)"],"surveyorAsks":["Show me how this aide qualified: training program, competency evaluation, and registry listing.","Who performed the competency evaluation? Which skills were observed on a patient or pseudo-patient?"],"forms":[{"ref":"NC-HH-AID-01-A","title":"Home Health Aide Competency Evaluation and Skills Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.80; NC Medicaid Clinical Coverage Policy 3A, section 6.1.2)","5. Who May Work as a Home Health Aide","6. Registry Listing and the 24-Month Rule","7. Competency Evaluation","8. Demonstrated Competency for Each Assigned Task","9. Training Program Content and Instructors","10. When the Agency May Not Offer a Program","11. In-Service Training","12. Aides Furnished Under Arrangement","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":"nc-hha","state":"North Carolina","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}}