9999.1 When used in this chapter, the following terms shall have the following meanings:

Adaptive Equipment - Medical devices used to assist the beneficiary in performing activities of daily living.

Medically Necessary - A physician’s determination that a beneficiary meets the requirements for services as set forth in this chapter.

Order – A formal, written instruction signed by the physician regarding a beneficiary’s medical care, treatment or management which specifically requests the provision of a specific service.

Plan of Care - A written document developed by the R.N. hired by the Home Health services provider that delineates the various treatments of the beneficiary.

Progress Note - A dated, written notation by a member of the health care team that summarizes facts about care and the patient’s response during a given period of time, as set forth in 22-B DCMR § 3999.

Skilled Nurse - An R.N. or L.P.N. licensed in accordance with the District of Columbia Health Occupations Revision Act of 1985, as amended, effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code §§ 3- 1201.01 et seq.) and implementing rules or appropriately licensed in the jurisdiction where services are rendered.

Surety Bond - One or more bonds issued by one or more surety companies under 31 USC §§ 9304 to 9308 and 31 CFR parts 223, 224, and 225.

SOURCE: Final Rulemaking published at 65 DCR 0418 (January 19, 2018).