School Personal Care Assistant Services


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School Personal Care Assistant Services

  1. 1. School Personal Care Assistant Services Department of Education Department of Medical Assistance Services Training Tia Campbell, RN, BSN Tammy Whitlock, MSHA October 2-3, 2007
  2. 2. School Personal Care Assistant Services <ul><li>Meet standards as required by the Department of Education Virginia School Health Guidelines, VDH and VDOE, 1999. </li></ul><ul><li>Received training for assisting with meeting the health needs of the student. </li></ul><ul><li>Supervised by a Virginia-licensed physician, physician assistant, nurse practitioner, registered nurse (RN) or other DMAS recognized school health professional acting within the scope of his license under State law. </li></ul>
  3. 3. Authorization for Services <ul><li>No additional prior authorization is required if services are authorized by the current IEP </li></ul><ul><ul><li>The student shall have a current order from a physician, physician assistant or nurse practitioner for specialized nursing procedures (tube feedings, catherization) </li></ul></ul><ul><ul><li>The service cannot be provided by a parent or a step-parent </li></ul></ul>
  4. 4. Provider Qualifications <ul><li>Perform services consistent with the training received. </li></ul><ul><ul><li>Guidelines for Specialized Health Care Procedures </li></ul></ul><ul><ul><li>Medication Manual for Unlicensed Personnel </li></ul></ul><ul><ul><li>Insulin and Glucagon Manual </li></ul></ul><ul><li>Services are to assist the child with disabilities in self-sufficiency, communications and mobility skills </li></ul>
  5. 5. Provider Qualifications cont. <ul><li>Examples of Guidelines for Specialized Health Care Procedures </li></ul><ul><li>Circulatory System </li></ul><ul><li>Endocrine System </li></ul><ul><li>Gastrointestinal System </li></ul><ul><li>Musculoskeletal System </li></ul><ul><li>Respiratory System </li></ul><ul><li>Urinary System </li></ul><ul><li>Neurological Systems </li></ul>
  6. 6. Provider Qualifications cont. <ul><li>The personal care assistant must be trained for the specific procedure per child. </li></ul><ul><li>Based on current nursing a medical protocols for care of children with special health care needs. </li></ul><ul><li>The training must be performed by qualified personnel and signed off upon completion of training. </li></ul>
  7. 7. School Personal Care Services <ul><li>Services provided by the assistant are related to the child’s physical and behavioral health requirements, including: </li></ul><ul><li>assistance with eating, dressing, hygiene, activities of daily living, bladder and bowel needs; </li></ul><ul><li>use of adaptive equipment; </li></ul>
  8. 8. School Personal Care Services <ul><li>ambulation and exercise; </li></ul><ul><li>minor behavioral issues; </li></ul><ul><li>other remedial services to promote reduction of a child’s disabilities; and </li></ul><ul><li>monitoring of a health related service </li></ul><ul><ul><li>ie: bus driver aid or monitoring for the need of suctioning </li></ul></ul>
  9. 9. School Personal Care Services <ul><li>Plan of Care </li></ul><ul><li>The Registered Nurse or other DMAS approved practitioner of the healing arts, supervising the assistant shall provide a written plan describing the assistance needed for the student. </li></ul>
  10. 10. School Personal Care Services <ul><li>Documentation </li></ul><ul><li>The school personal care assistant shall document: </li></ul><ul><li>On a weekly basis for non-nursing services (Medicaid requires documentation for time being billed) </li></ul><ul><li>For nursing assistant the documentation is per occurrence </li></ul><ul><li>The dates and times noted </li></ul><ul><li>Initials of the assistant </li></ul>
  11. 11. School Personal Care Services <ul><li>Documentation cont. </li></ul><ul><li>Date of entry </li></ul><ul><li>Out of the ordinary findings </li></ul><ul><li>RN or DMAS approved practitioner of the healing arts will review documentation every 30 calendar days. </li></ul><ul><li>The supervising professional will document the monthly visit with a note, signature, and date. </li></ul>
  12. 12. School Personal Care Services <ul><li>Billing </li></ul><ul><li>A unit of services equals 15 minutes for no more than 8.5 hours a day </li></ul><ul><li>The number of units billed is not to exceed the number of units in a day that the student is in the care of the school </li></ul><ul><li>While more than one assistant may attend the student during a school day, the unit for a particular period of the day shall not be billed for the services of more than one assistant. </li></ul>