School Personal Care Assistant Services Department of Education Department of Medical Assistance Services Training Tia Cam...
School Personal Care Assistant Services <ul><li>Meet standards as required by the Department of Education Virginia School ...
Authorization for Services <ul><li>No additional prior authorization is required if services are authorized by the current...
Provider Qualifications <ul><li>Perform services consistent with the training received. </li></ul><ul><ul><li>Guidelines f...
Provider Qualifications cont. <ul><li>Examples of Guidelines for Specialized Health Care Procedures </li></ul><ul><li>Circ...
Provider Qualifications cont. <ul><li>The personal care assistant must be trained for the specific procedure per child. </...
School Personal Care Services <ul><li>Services provided by the assistant are related to the child’s physical and behaviora...
School Personal Care Services <ul><li>ambulation and exercise; </li></ul><ul><li>minor behavioral issues; </li></ul><ul><l...
School Personal Care Services <ul><li>Plan of Care </li></ul><ul><li>The Registered Nurse or other DMAS approved practitio...
School Personal Care Services <ul><li>Documentation </li></ul><ul><li>The school personal care assistant shall document: <...
School Personal Care Services <ul><li>Documentation cont. </li></ul><ul><li>Date of entry </li></ul><ul><li>Out of the ord...
School Personal Care Services <ul><li>Billing </li></ul><ul><li>A unit of services equals 15 minutes for no more than 8.5 ...
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School Personal Care Assistant Services

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Transcript of "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>
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