D.C. Mun. Regs. tit. 29, § 4221
Reimbursement: Community Transition Services
Authority: Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6)), An Act To enable the District of Columbia to receive Federal financial assistance under title XIX of the Social Security Act for a medical assistance program, and for other purposes, approved December 27, 1967 (81 Stat. 744; D.C. Official Code § 1-307.02), and Mayor’s Order 2024-115, dated July 1, 2024. Source: Final Rulemaking published at 50 DCR 9025 (October 24, 2003); as amended by Final Rulemaking published at 64 DCR 6784 (July 21, 2017); as amended by Final Rulemaking published at 72 DCR 004996 (April 25, 2025).District of Columbia, Office of the Secretary
4221 PERSONAL CARE AIDE (PCA): QUALIFICATIONS
4221.1 Each personal care aide PCA shall:
- (a) Be at least 18 years of age;
- (b) Be a citizen of the United States or an alien who is lawfully authorized to work in the United States by providing documentation to meet the Immigration and Naturalization Services Form I-9 requirements;
- (c) Complete a home health aide training program that includes at least seventy-five (75) hours of classroom training with at least sixteen (16) hours devoted to supervised practical training and pass a competency evaluation for those services which the Personal care aide (PCA) is required to perform consistent with the requirements set forth in 42 CFR 484.36. Each PCA shall provide a copy of certificate and competency evaluations;
- (d) Be certified in cardiopulmonary resuscitation ("CPR") and thereafter obtain CPR certification annually;
- (e) Be able to read and write the English language at the fifth (5th) grade level and carry out instructions and directions;
- (f) Be able to recognize an emergency and be knowledgeable about emergency procedures;
- (g) Be knowledgeable about infection control procedures;
- (h) Be acceptable to the recipient and not be a spouse or parent of a minor recipient, or other legally responsible relative;
- (i) Demonstrate annually following the Centers for Disease Control (CDC) guidelines that he or she is free from communicable disease as confirmed by a chest x-ray or by an annual Purified Protein Derivative (PPD) Skin Test or documentation from a physician stating that the person is free from communicable disease;
- (j) Pass a criminal background check pursuant to the Health-Care Facility Unlicensed Personnel Criminal Background Check Act of 1998, effective April 20, 1999 (D.C. Law 12-238; D.C. official Code, § 44-551 et seq.); and
- (k) Provide documentation of acceptance or declination of the Hepatitis vaccine.
- (l) Be supervised by a registered nurse.
4221.2 After the first year of service, each PCA shall complete at least twelve (12) hours of continuing education or in-service training annually. The in-service training may be furnished while the PCA is furnishing care to the recipient under the supervision of a registered nurse.
SOURCE: Final Rulemaking published at 50 DCR 9025 (October 24, 2003).