{"ref":"NC-HH-AID-02","title":"Home Health Aide Assignment, Care Instructions, and Supervisory Visits","category":"Clinical tasks","summary":"Sets how home health aides are assigned to patients and given written care instructions, what aides may and may not do, and how a registered nurse or therapist supervises them: every 14 days for patients receiving skilled services, every 60 days in person for aide-only patients, observation of each aide while giving care, and the North Carolina 90-day and annual visits, which the Agency meets through the federal schedule. Covers documentation and corrective action.","inShort":["Follow the written aide care plan in the home. Do only the tasks on it.","You may help patients take their own medicines, but you may not give medicines.","Report changes in the patient right away to the nurse or therapist, and write them in your visit note.","A nurse or therapist checks on your patients every 14 days; if a patient gets aide care only, a registered nurse visits every 60 days. They will sometimes watch you give care.","If you are unsure about anything, call the supervising nurse at (919) 555-0100 or (919) 555-0199 after hours."],"primaryCitation":"42 CFR §484.80(h)","citations":["10A NCAC 13J .1107(a)","10A NCAC 13J .1107(b)","10A NCAC 13J .1107(c)","10A NCAC 13J .1107(f)","10A NCAC 13J .1110(b)","10A NCAC 13J .1110(c)","10A NCAC 13J .1110(d)","10A NCAC 13J .1110(e)","10A NCAC 13J .1110(f)","10A NCAC 13J .1110(g)","10A NCAC 13J .1202(c)","21 NCAC 36 .0221","NC Medicaid Clinical Coverage Policy 3A"],"federalCitations":["42 CFR §484.80(g)","42 CFR §484.80(h)","42 CFR §484.60(e)"],"surveyorAsks":["Show me the aide care plan in the home. Who signed it, and does the aide follow it?","When was the last aide supervisory visit for this patient? Was it on site? Who made it?"],"forms":[{"ref":"NC-HH-AID-02-A","title":"Home Health Aide Care Plan and Written Instructions"},{"ref":"NC-HH-AID-02-B","title":"Home Health Aide Supervisory Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.80(g) and (h); 10A NCAC 13J .1107 and .1110)","5. Assigning an Aide","6. The Aide Care Plan and Written Instructions","7. What Aides Do and Do Not Do","8. Supervision Schedule","9. What a Supervisory Visit Covers","10. When Supervision Finds a Problem","11. Supervisor Availability","12. Aides Under Arrangement","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"nc-hha","state":"North Carolina","service":"Home health","guides":[{"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}}