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Home Health Aide Qualifications, Training, and Competency Evaluation

Sets out who may work as a home health aide for the Agency and how the Agency proves it: the four routes to qualification in 42 CFR §484.80(a), the 24-month lapse rule, the 75-hour training program content and its classroom and practical hours, the competency evaluation an RN performs before an aide furnishes any service (with the tasks that must be observed), the 12 hours of in-service training each 12 months, instructor qualifications, the sanctions that bar an agency from running a program, and the records the Agency keeps. Michigan has no separate state training rule for home health aides; Michigan Medicaid adopts the federal standard.

Preview: full text with a package
About this policy
Policy number
MI-HH-AID-01
Version
1.0
Main rule
42 CFR §484.80(a) to (f)
Library
Michigan home health · 57 policies
Category
Clinical tasks
Sections
21

In short

  • You may work as a home health aide only after you pass a competency evaluation done by an RN.
  • Some tasks, such as bathing, transfers and taking temperature, pulse and breathing, must be watched by the RN.
  • If a task is rated unsatisfactory, do it only with an RN present until you are retrained and pass.
  • You need at least 12 hours of in-service training every 12 months.
  • If you go 24 months in a row without paid aide work, you must complete a program again.

What's inside

21 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §484.80(a) to (f))
  • 5. Verifying Qualification at Hire
  • 6. The 24-Month Lapse Rule
  • 7. Training Program Content and Hours
  • 8. Competency Evaluation
  • 9. Annual In-Service Training
  • 10. Retraining After a Deficiency
  • 11. Instructors
  • 12. Whether the Agency May Run a Program
  • 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

An inspector may ask

  • Show me how this aide qualified: training and competency, competency only, or the nurse aide registry.
  • Show me the competency evaluation, who performed it, and which tasks were observed with a patient or pseudo-patient.

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