Home Health Aide Qualifications, Training, and Competency Evaluation
Sets out who may work as a home health aide for the Agency (the four qualification routes in 42 CFR §484.80(a), including a Missouri certified nurse assistant in good standing on the state registry), the 24-month lapse rule, the 75-hour training program content if the Agency trains aides, the competency evaluation by a registered nurse with the five skills that must be observed, the rules for unsatisfactory ratings, at least 12 hours of in-service training in each 12-month period, instructor qualifications, and when the Agency is barred from offering training or competency programs.
- Policy number
- MO-HH-AID-01
- Version
- 1.0
- Main rule
- 42 CFR §484.80(a) to (f) (adopted by 19 CSR 30-26.010(1)(A))
- Library
- Missouri home health · 57 policies
- Category
- Clinical tasks
- Sections
- 21
In short
- You may work as a home health aide only after passing a competency evaluation done by a registered nurse.
- If you qualify as a CNA, you must be in good standing on the state nurse aide registry.
- Do not do any task you were rated unsatisfactory on unless an RN is directly supervising you, until you are retrained and pass again.
- You need at least 12 hours of in-service training every 12 months. Dementia training counts when an RN supervises it.
- Tell us if you have gone 24 months in a row without paid aide work; you would need to complete a program again.
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(a) to (f) (adopted by 19 CSR 30-26.010(1)(A)))
- 5. Who May Work as a Home Health Aide
- 6. Training Program Content (If the Agency Trains Aides)
- 7. Subjects Every Aide Must Be Trained and Evaluated In
- 8. Competency Evaluation
- 9. Instructors
- 10. In-Service Training
- 11. Retraining After a Supervisory Finding
- 12. When the Agency May Not Offer Training or Competency Programs
- 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: the training program, the competency evaluation, or the state nurse aide registry listing.
- Who performed this aide's competency evaluation, and which skills were observed with a patient or pseudo-patient?
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