{"ref":"OH-HH-WVR-01","title":"Ohio Medicaid Waiver Services: Personal Care Aide and Waiver Nursing","category":"Service delivery","summary":"Applies when the Agency provides personal care aide or waiver nursing services to individuals enrolled on an Ohio Department of Medicaid-administered waiver (the Ohio Home Care Waiver or the MyCare Ohio waiver). Covers the waiver provider conditions of participation and prohibited conduct, individual rights, the scope of personal care aide services, aide qualifications (an ODH-approved or Medicare aide competency program, hands-on first aid certification, and twelve hours of in-service continuing education in each twelve-month period), RN supervision (an initial face-to-face home visit, a face-to-face visit at least every sixty days while the aide is present and providing care, and in-person RN assessment visits at least twice a year), clinical records, waiver nursing, incident management, EVV, and notice before ending services.","inShort":["Give waiver services only as the person-centered services plan says, and never more hours than approved.","Personal care aides never give medicines. Keep your hands-on first aid certificate current.","Complete twelve hours of continuing education every twelve months, not counting orientation.","A nurse visits at least every sixty days while you are giving care.","Never accept gifts or money, never bring anyone with you, and record every visit with EVV."],"primaryCitation":"OAC 5160-46-04","citations":["OAC 5160-46-04","OAC 5160-46-04(A)(4)","OAC 5160-44-22","OAC 5160-44-31","OAC 5160-44-31(B)(20)","OAC 5160-45-03","OAC 5160-44-05","OAC 5160-32-01(D)(1)","OAC 4723-13-02(C)","ORC 3740.11(H)(7)"],"federalCitations":["42 CFR §484.80(i)","42 CFR §484.80","42 CFR §484.80(h)"],"surveyorAsks":["Which of your patients are on an Ohio Medicaid waiver, and which waiver services do you provide?","Show me the first aid certification and in-service hours for this personal care aide."],"forms":[{"ref":"OH-HH-WVR-01-A","title":"Waiver Personal Care Aide Supervisory Home Visit Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 5160-46-04)","5. When This Policy Applies","6. Provider Conditions of Participation","7. Prohibited Conduct","8. Individual Rights","9. Personal Care Aide Services","10. Personal Care Aide Qualifications","11. RN Supervision of Personal Care Aides","12. Clinical Records for Personal Care Aide Services","13. Waiver Nursing Services","14. Incidents, EVV, and Billing","15. Ending Waiver Services","16. Responsibilities","17. Records and Compliance Monitoring","18. Staff Training","19. References","20. Related Policies and Forms","21. Approval","22. Revision History"],"version":"1.0","sample":false,"pack":"oh-hha","state":"Ohio","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}}