continued...
6. Standards for assessors should require training for the individuals who are responsible for conducting the assessment of recipients.
7. Standards for supervision of PCAs should require a qualified professional (QP) be involved in the supervision of PCA services and that QP supervision standards should be developed.
8. Quality Assurance and ensuring stakeholder connectivity should be part of the DHS program assurance; DHS should establish an Advisory Council to work with the DHS program integrity, quality assurance, training development and other oversight concerns. DHS should utilize mechanisms to obtain regular feedback from each PCA recipient about their experience with PCA services and programs.
If you want to read the whole report, go to: http://www.health.state.mn.us/divs/fpc/2009pcafinalrpt.pdf.
Wednesday, March 18, 2009
MDH New PCA Recomendations for Provider Standards
The MDH came out with their recommendations for the PCA program in February 2009. The recommendations are:
1. The DHS shall retain the authority to regulate and oversee all PCA services that use exclusively MA dollars.
2. Enrollment standards for individual PCAs should require that a PCA must complete and provide evidence of having completed a basic core set of training prior to enrollment with DHS. Included in the recommendations are the minimum training requirements and core curriculm that should be a part of this training. PCAs providing services to any recipient qualified as having complex medical or unique needs must have additional training. Prior to enrollment with DHS, a PCA must pass a criminal background check.
3. Enrollment standards for PCA agencies should require that all PCA agency managers, qualified professional, financial, and other key staff of the agency complete the DHS "Steps for Success" training program prior to enrollment with DHS. All agency owners, managers, and qualified professionals must pass a background check prior to enrollment. Agencies must have written grievance policy and compliance procedures for both staff and recipients. Agencies must pay a fee to enrol with DHS as a provider.
4. Standards for individual PCA agencies should require that agencies that have been disenrolled due to fraud, abuse of substantiated complaints about quality of care and any individuals with ownership, administrative or managerial ties to the disenrollment entity, shall be barred from establishing a new agency for 5 years.
5. Standards for assessors should require training for the individuals who are responsible for conducting the assessment of recipients.
1. The DHS shall retain the authority to regulate and oversee all PCA services that use exclusively MA dollars.
2. Enrollment standards for individual PCAs should require that a PCA must complete and provide evidence of having completed a basic core set of training prior to enrollment with DHS. Included in the recommendations are the minimum training requirements and core curriculm that should be a part of this training. PCAs providing services to any recipient qualified as having complex medical or unique needs must have additional training. Prior to enrollment with DHS, a PCA must pass a criminal background check.
3. Enrollment standards for PCA agencies should require that all PCA agency managers, qualified professional, financial, and other key staff of the agency complete the DHS "Steps for Success" training program prior to enrollment with DHS. All agency owners, managers, and qualified professionals must pass a background check prior to enrollment. Agencies must have written grievance policy and compliance procedures for both staff and recipients. Agencies must pay a fee to enrol with DHS as a provider.
4. Standards for individual PCA agencies should require that agencies that have been disenrolled due to fraud, abuse of substantiated complaints about quality of care and any individuals with ownership, administrative or managerial ties to the disenrollment entity, shall be barred from establishing a new agency for 5 years.
5. Standards for assessors should require training for the individuals who are responsible for conducting the assessment of recipients.
Friday, February 27, 2009
Govenor's Budget Proposal Regarding PCA services
The Governor's budget proposes the redesign that PCA program by
1. Changing access to PCA services - requiring that a recipient have had at least two needs for assistance in activities of daily living (bathing, grooming, dressing, etc.);
2. Simplifying and creating greater consisteny in the process of assessing for and authorizing PCA services;
3. Improving consumer health, safety, choice and control by promoting separation of housing and services, requiring professional supervision of all recipients, and requiring that a responsible party live with the consumer who can't direct there own care; and
4. Requiring all PCA agencies and agency staff meet standards, including training and a 310 hour limit on the time a PCA can work each month.
Approximately 2,100 individuals are expected to lose access to PCA services. Hours for some recipients will be increased (5,000) and will be reduced for others (6,000). About 350-400 people will be affected by the requirement to have a responsible party live with the consumer who can't direct their own care.
1. Changing access to PCA services - requiring that a recipient have had at least two needs for assistance in activities of daily living (bathing, grooming, dressing, etc.);
2. Simplifying and creating greater consisteny in the process of assessing for and authorizing PCA services;
3. Improving consumer health, safety, choice and control by promoting separation of housing and services, requiring professional supervision of all recipients, and requiring that a responsible party live with the consumer who can't direct there own care; and
4. Requiring all PCA agencies and agency staff meet standards, including training and a 310 hour limit on the time a PCA can work each month.
Approximately 2,100 individuals are expected to lose access to PCA services. Hours for some recipients will be increased (5,000) and will be reduced for others (6,000). About 350-400 people will be affected by the requirement to have a responsible party live with the consumer who can't direct their own care.
Thursday, February 26, 2009
Welcome to Class A Home Care and PCa Providers
Welcome to this blog which is designed to keep both Class A and PCA home care providers up-to-date on regulatory and other changes that may affect your business. My name is Barbara Burandt. I am both a nurse and an attorney who has worked in home care for many years. I welcome your feedback and questions.
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