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Personal Care

Page history last edited by Jim Lóser 12 years, 7 months ago

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Effective July 1, 2008, districts may be reimbursed by Medicaid for personal care services. In Ionia County, the recording of personal care services is mandatory for Act 18 programs. Reporting for non-Act 18 programs is at the district's discretion. Note that if a Health Care Aide is federally funded, they cannot record personal care services.

 

I. PERSONAL CARE POLICY:

Definition of Personal Care Services: Personal Care Services are a range of human assistance services provided to persons with disabilities and chronic conditions which enables them to accomplish tasks that they would normally do for themselves if they did not have a disability. Assistance may be in the form of hands-on assistance or cueing so that the person performs the task by him/her self.

 

Billing Requirements:

  • Personal care services must be authorized by a physician or other licensed practitioner operating within their scope of practice. The "other licensed practitioner" could be of the same discipline as the service in question. For instance, a licensed occupational therapist could authorize the provision of services, as long as doing so is within their scope of practice.
  • The need for personal care services must be documented in the student's IEP in the both the PLAAFP and the Supplementary Aids/Services sections . In order to facilitate this documentation, click on this link for sample language to include in the IEP.
  • In addition to documentation in the IEP, a Personal Care Authorization form must be completed and placed in the student's file. Send originals to the ISD to be scanned.

 

Personal Care Services:

Services may include, but are not limited to, assisting with the following:

  • Eating/feeding;
  • Respiratory assistance;
  • Toileting;
  • Grooming;
  • Dressing;
  • Transferring;
  • Ambulation;
  • Personal hygiene;
  • Mobility/Positioning;
  • Meal preparation;
  • Skin care;
  • Bathing;
  • Maintaining continence;
  • Assistance with self administered medications;
  • Redirection and intervention for behavior; and
  • Health related functions through hands-on assistance, supervision and cueing.

 

Personal Care (Health Care Aides) Provider Qualifications:

The personal care HCA personnel shall be qualified under the requirements established by their respective ISD plan. Providers must be trained in the skills needed to perform covered services, and must be under the direction of a qualified professional as designated in the IEP/IFSP. HCA personnel include:

  • Teacher Aides
  • Health Care Aides
  • Instructional Aides
  • Bilingual Aides
  • Program Assistants
  • Trainable Aides

 

Documentation:

Personal care services must be medically necessary and the need for the service documented in the student's IEP/IFSP. Each child's school clinical record must contain a completed, signed and dated monthly activity checklist. All Medicaid documentation must be kept on file for seven years.

 

Procedure Code:

The following procedure code may be used to bill for personal care services: T1020 - Personal care services, per diem

 

II. PROCESS FOR TRACKING AND REPORTING SERVICES

Personal Care Checklist:

A completed, signed and dated activity checklist must be completed for each student for whom personal care services will be reported. Click on the following link for a monthly version of the Personal Care checklist: Health Care Documentation Form for HCAs

 

The checklist process should works as follows:

1. Each HCA will record the services they render to each student on their checklist on a daily basis.

2. At the end of the week (or month), the HCA will log these into the PCG site on-line and then turn in their signed and dated checklists to their supervising teacher to be signed.

3. The checklists will be forwarded to the ISD and/or filed at the local for potential audit. The checklists must be filed and kept by the district for seven years in case of an audit.

 

 

 

 

 

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