School Personal Care Assistant Services

1
School Personal Care Assistant Services

• Department of Education
• Department of Medical Assistance Services
• Training
• Tia Campbell, RN, BSN
• Tammy Whitlock, MSHA
• October 2-3, 2007

2
School Personal Care Assistant Services

• Meet standards as required by the Department of
  Education Virginia School Health Guidelines, VDH
  and VDOE, 1999.
• Received training for assisting with meeting the
  health needs of the student.
• Supervised by a Virginia-licensed physician,
  physician assistant, nurse practitioner,
  registered nurse (RN) or other DMAS recognized
  school health professional acting within the
  scope of his license under State law.

3
Authorization for Services

• No additional prior authorization is required if
  services are authorized by the current IEP
• The student shall have a current order from a
  physician, physician assistant or nurse
  practitioner for specialized nursing procedures
  (tube feedings, catherization)
• The service cannot be provided by a parent or a
  step-parent

4
Provider Qualifications

• Perform services consistent with the training
  received.
• Guidelines for Specialized Health Care Procedures
• Medication Manual for Unlicensed Personnel
• Insulin and Glucagon Manual
• Services are to assist the child with
  disabilities in self-sufficiency, communications
  and mobility skills

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Provider Qualifications cont.

• Examples of Guidelines for Specialized Health
  Care Procedures
• Circulatory System
• Endocrine System
• Gastrointestinal System
• Musculoskeletal System
• Respiratory System
• Urinary System
• Neurological Systems

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Provider Qualifications cont.

• The personal care assistant must be trained for
  the specific procedure per child.
• Based on current nursing a medical protocols for
  care of children with special health care needs.
• The training must be performed by qualified
  personnel and signed off upon completion of
  training.

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School Personal Care Services

• Services provided by the assistant are related to
  the childs physical and behavioral health
  requirements, including
• assistance with eating, dressing, hygiene,
  activities of daily living, bladder and bowel
  needs
• use of adaptive equipment

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School Personal Care Services

• ambulation and exercise
• minor behavioral issues
• other remedial services to promote reduction of a
  childs disabilities and
• monitoring of a health related service
• ie bus driver aid or monitoring for the need of
  suctioning

9
School Personal Care Services

• Plan of Care
• The Registered Nurse or other DMAS approved
  practitioner of the healing arts, supervising the
  assistant shall provide a written plan describing
  the assistance needed for the student.

10
School Personal Care Services

• Documentation
• The school personal care assistant shall
  document
• On a weekly basis for non-nursing services
  (Medicaid requires documentation for time being
  billed)
• For nursing assistant the documentation is per
  occurrence
• The dates and times noted
• Initials of the assistant

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School Personal Care Services

• Documentation cont.
• Date of entry
• Out of the ordinary findings
• RN or DMAS approved practitioner of the healing
  arts will review documentation every 30 calendar
  days.
• The supervising professional will document the
  monthly visit with a note, signature, and date.

12
School Personal Care Services

• Billing
• A unit of services equals 15 minutes for no more
  than 8.5 hours a day
• The number of units billed is not to exceed the
  number of units in a day that the student is in
  the care of the school
• While more than one assistant may attend the
  student during a school day, the unit for a
  particular period of the day shall not be billed
  for the services of more than one assistant.