Home Health Aide Qualifications, Training, Competency Evaluation, and Registry Listing
Allows only qualified home health aides to give care: each aide has completed training and a competency evaluation meeting 42 CFR §484.80 and is listed on the North Carolina Nurse Aide I Registry (or as a Nurse Aide II on both registries), has not had a 24-month break from paid aide work, has shown each assigned task to a registered nurse, and completes at least 12 hours of in-service training every 12 months. Sets the content of any training or competency evaluation program the Agency runs.
About this policy
- Policy number
- NC-HH-AID-01
- Version
- 1.0
- Main rule
- 42 CFR §484.80
- Library
- North Carolina home health · 57 policies
- Category
- Clinical tasks
- Sections
- 21
In short
- You must be listed on the North Carolina Nurse Aide I Registry (or as a Nurse Aide II) before you care for any patient.
- A registered nurse must watch you do each task before you are assigned it.
- If you are rated unsatisfactory on a skill, you do not do that task alone until you are retrained and pass again.
- Complete at least 12 hours of in-service training every 12 months. If you fall short, you come off the schedule.
- If you have not worked for pay as an aide for 24 months in a row, you must qualify again before giving care.
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; NC Medicaid Clinical Coverage Policy 3A, section 6.1.2)
- 5. Who May Work as a Home Health Aide
- 6. Registry Listing and the 24-Month Rule
- 7. Competency Evaluation
- 8. Demonstrated Competency for Each Assigned Task
- 9. Training Program Content and Instructors
- 10. When the Agency May Not Offer a Program
- 11. In-Service Training
- 12. Aides Furnished Under Arrangement
- 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 program, competency evaluation, and registry listing.
- Who performed the competency evaluation? Which skills were observed on a patient or pseudo-patient?
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