Home Health Aide Assignment, Care Instructions, and Supervision
Sets out how home health aides are assigned to patients with written care instructions, what aides may and may not do, how they report changes, and how they are supervised: for patients receiving skilled services, a supervisory assessment at least every 14 days (no more than one virtual in a 60-day episode) and an annual on-site observation of each aide; for patients receiving only aide services, an RN on-site visit every 60 days and a semi-annual on-site observation. For Michigan Medicaid patients the Michigan Medicaid Provider Manual adds a 14-day supervisory visit by the RN or therapist, a 60-day RN visit where no skilled service is provided, and RN co-signature of all aide documentation.
- Policy number
- MI-HH-AID-02
- Version
- 1.0
- Main rule
- 42 CFR §484.80(g) and (h)
- Library
- Michigan home health · 57 policies
- Category
- Clinical tasks
- Sections
- 21
In short
- Follow the written care instructions for each patient. Do only the tasks listed.
- Never give injections, touch IV lines, fill pill boxes or take orders from anyone.
- Call the RN or therapist at once about falls, pain, breathing problems, confusion, skin changes or an unsafe home.
- An RN or therapist checks your care at least every 14 days for patients getting skilled care, and every 60 days for aide-only patients.
- For Michigan Medicaid patients, the RN co-signs all your notes.
What's inside
21 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §484.80(g) and (h))
- 5. Assignment and Written Care Instructions
- 6. What Aides Do
- 7. What Aides Do Not Do
- 8. Reporting and Documentation by Aides
- 9. Supervision Schedule
- 10. What Supervision Checks
- 11. Deficiencies and Retraining
- 12. Delegation of Additional Tasks
- 13. Aide Services Under Arrangement
- 14. Responsibilities
- 15. Records and Compliance Monitoring
- 16. Staff Training
- 17. References
- 18. Related Policies and Forms
- 19. Approval
- 20. Revision History
An inspector may ask
- Show me the written care instructions for this aide and who prepared them.
- Show me the last supervisory assessments for this patient. Were they on time? Were any virtual?
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