Jen-

 

Thank you for your comments below. I haven’t had an opportunity to review the SOM changes, but you brought up great questions.

 

I will not be attending the NAHC webinar (we’re not members). But if anyone attends, it would be great if you could share any learnings with this group.

 

 

 

Good morning and Happy Friday!

 

Regarding the revised HHA SOM, overall, I find the revisions helpful in its consolidation of multiple regs, protocols and interpretive guidelines.

I had just a few questions based on my review:

1. 484.60(a)(2): Individualized care plan – inclusion of supplies and equipment:  Should agencies include only the supplies and equipment provided by the HHA on the POC, or all supplies/equipment necessary to the POC?  Not really a new question, but one that I’ve had different interpretations of, and the additional IG note added regarding supplies made me question how others interpret this.
2. 484.80(h)(iv) Revised IG: “The skilled professional who supervises aide services should be familiar with the patient, the patient’s plan of care, and the written patient care instructions.” This is worded slightly different from the current IG shown below.  Would there be a potential issue with an RN Manager making the annual on-site visit versus the nurse case manager who is familiar with the patient?  The skilled nurse/therapist involved in patient care is completing every 14-day sup visits, but we find value in having an RN manager/supervisor make the annual onsite supervisory visits (assess competency, etc).  They familiarize themselves with the patient care plan, but may not be “familiar with the patient”.  I may be reading too much into this one!

 

3. 484.55(c)(5): Not a question for CMS/MDH, but I’m curious if any agencies are considering changing their current practice regarding RN review of meds in therapy only cases.

 

NAHC is hosting a webinar next Thursday regarding the revised SOM, and impact on providers.  Are any workgroup members planning to attend?

 

Thanks all!

 

 

 

FYI: NAHC is reviewing the revised Appendix B and has provided the attached summary, with more info to come.  NAHC is also developing a crosswalk between the current SOM and revised version.  I’ll monitor and share info with the group as able. 

Again, if you have any questions based on the revisions, please send to the workgroup by Friday and we’ll compile a list for follow up with MDH. 

Thanks everyone

 

 

 

Happy Friday!

CMS just published revisions to Appendix B of the HHA State Operations Manual (SOM) – link provided below.

My ask of this workgroup is to look over the revisions and determine if there are any questions we’d like MHCA to bring to MDH.

Please send your feedback/questions regarding the revisions, if any, to the workgroup by Friday, 3/22.

I know it’s a lengthy document and appreciate everyone taking time to review and share their thoughts.

QSO-24-07-HHA (cms.gov)

Thank You and Happy Reading! 😊
Jen

 

 

This St. Luke's communication is intended for the use of the person or entity to whom it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law.  If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this information is prohibited.  If you have received this message in error, please notify sender immediately

To unsubscribe from this list please go to https://https://list.mnhomecare.org/subs/

This St. Luke's communication is intended for the use of the person or entity to whom it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law.  If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this information is prohibited.  If you have received this message in error, please notify sender immediately

To unsubscribe from this list please go to https://list.mnhomecare.org/confirm/?u=eDtInHZe4nUfFdwcvnZwFV177em23xSM

CAUTION: This email originated from outside of the Allina Health network. Do not click links or open attachments unless you recognize the sender and know the content is safe.