Authorized Nurse Visits and General Health Evaluations
How the Agency's nurses make the authorized nurse visits DSDS prior-authorizes: who may make them; eligibility and limits (a unit is the visit, and no more than 26 in six months); the duties at every visit, including evaluating the plan of care and reviewing it with the participant; the services a visit may include; the General Health Evaluation at least twice a year, in the 4th and 10th months after the annual assessment, uploaded by the 15th of the following month; physician contact, referrals and reports to DSDS; and documentation.
About this policy
- Policy number
- MO-HC-SVC-05
- Version
- 1.0
- Main rule
- 13 CSR 70-91.010(6)
- Library
- Missouri home care · 50 policies
- Category
- Clinical tasks
- Sections
- 19
In short
- Nurse visits happen only when DSDS has authorized them, up to 26 in six months.
- At every visit, check the participant's health and review the care plan with the participant.
- Do General Health Evaluations in the 4th and 10th months after the annual assessment, and upload them by the 15th of the next month.
- Call the physician for orders or information; tell the physician and DSDS if skilled care is needed.
- Write a note for every visit, with arrival and departure times, within five business days.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (13 CSR 70-91.010(6))
- 5. Who Makes Authorized Nurse Visits
- 6. Eligibility, Authorization and Limits
- 7. Duties at Every Visit
- 8. Authorized Nurse Services
- 9. General Health Evaluations
- 10. Physician Contact, Referrals and Reports to DSDS
- 11. Documentation
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me the prior authorization for this participant's nurse visits, and the notes for each visit.
- At each nurse visit, how does the nurse evaluate the plan of care and review it with the participant?
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