1. (1) If ordered by the patient's physician or non-physician practitioner (NPP), and authorized by Medicaid, a professional registered nurse employed by a certified home health agency can provide part-time or intermittent nursing services to a patient.

   1. (a) The registered nurse is responsible for a nursing care plan, which is made in accordance with the written plan of care.
   2. (b) Restorative, preventive, maintenance, and supportive services are covered.

2. (2) Licensed Practical Nurse Services.

   1. (a) If ordered by a patient's physician or NPP, a licensed practical nurse, supervised by a professional registered nurse, employed by a participating home health agency, can provide intermittent or part-time nursing services to the patient when assignment is made by the professional registered nurse.
   2. (b) LPN services are assigned and provided in accordance with existing state law.

3. (3) Home Health Aide/Orderly Services.

   1. (a) A home health aide/orderly can provide personal care and services as specified in the plan of care.
   2. (b) These services can be provided on a part-time basis only when they are supervised by the nurse who is responsible for the care of the patient and services are authorized by Medicaid.
4. (4) Supervisory visits by the registered nurse must be performed at least every 60 days when services are provided by the LPN, home health aide, or orderly.

Author: Renee Adams, Administrator, LTC Program Management and Support Unit

Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §441.15; State Plan.

History: Rule effective October 1, 1982. Amended effective August 9, 1985. Amended: Filed November 8, 2006; effective December 13, 2006. Amended: Published October 30, 2020; effective December 14, 2020.