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Welcome  » December 6, 2021 11:55 AM
Program Name: BadgerCare Plus and Medicaid Handbook Area: Home Health
12/06/2021  

Covered and Noncovered Services : Home Health Skilled Nursing Services

Topic #2138

Supervision

In accordance with licensure requirements and as stated in Wis. Admin. Code ch. N 6, LPNs are required to be supervised by an RN or a physician. Ongoing supervision of a home health aide, LPN, or PCW must be provided in accordance with Wis. Admin. Code § DHS 105.16(2)(b).

Ongoing supervision of a home health aide, LPN, or PCW must be provided in accordance with Wis. Admin. Code § DHS 105.16(2)(b).

Supervisory visits must include:

  • A review and evaluation of the member's medical condition and medical needs according to the written POC during the period in which agency care is being provided
  • An evaluation of the appropriateness of the relationship between the direct care giver and the member
  • An assessment of the extent to which the member's goals are being met
  • A determination of whether or not the current level of home health services provided to the member continues to be appropriate to treat the member's medical condition
  • A determination of whether or not the services are medically necessary
  • A discussion and review with the member about the services received by the member

After each supervisory visit, the RN must discuss the results of the supervisory visits with the home health aide, LPN, or PCW. The results of each supervisory visit must be documented in the member's medical record.

Separate reimbursement for supervisory visits is limited to PCW supervisory visits. Specific information on the supervision of PCWs is available in the Personal Care area of the Online Handbook.

 
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