Section 144A.45 Regulation of Home Care Services
144A.45 REGULATION OF HOME CARE SERVICES.
Subdivision 1.Rules.
The commissioner shall adopt rules for the regulation of home care providers pursuant to sections 144A.43 to 144A.47. The rules shall include the following:
(1) provisions to assure, to the extent possible, the health, safety and well-being, and appropriate treatment of persons who receive home care services;
(2) requirements that home care providers furnish the commissioner with specified information necessary to implement sections 144A.43 to 144A.47;
(3) standards of training of home care provider personnel, which may vary according to the nature of the services provided or the health status of the consumer;
(4) standards for medication management which may vary according to the nature of the services provided, the setting in which the services are provided, or the status of the consumer. Medication management includes the central storage, handling, distribution, and administration of medications;
(5) standards for supervision of home care services requiring supervision by a registered nurse or other appropriate health care professional which must occur on site at least every 62 days, or more frequently if indicated by a clinical assessment, and in accordance with sections 148.171 to 148.285 and rules adopted thereunder, except that a person performing home care aide tasks for a class B licensee providing paraprofessional services does not require nursing supervision;
(6) standards for client evaluation or assessment which may vary according to the nature of the services provided or the status of the consumer;
(7) requirements for the involvement of a consumer's physician, the documentation of physicians' orders, if required, and the consumer's treatment plan, and the maintenance of accurate, current clinical records;
(8) the establishment of different classes of licenses for different types of providers and different standards and requirements for different kinds of home care services; and
(9) operating procedures required to implement the home care bill of rights.
Subd. 1a.Home care aide tasks.
Notwithstanding the provisions of Minnesota Rules, part 4668.0110, subpart 1, item E, home care aide tasks also include assisting toileting, transfers, and ambulation if the client is ambulatory and if the client has no serious acute illness or infectious disease.
Subd. 1b.Home health aide qualifications.
Notwithstanding the provisions of Minnesota Rules, part 4668.0100, subpart 5, a person may perform home health aide tasks if the person maintains current registration as a nursing assistant on the Minnesota nursing assistant registry. Maintaining current registration on the Minnesota nursing assistant registry satisfies the documentation requirements of Minnesota Rules, part 4668.0110, subpart 3.
Subd. 2.Regulatory functions.
(a) The commissioner shall:
(1) evaluate, monitor, and license home care providers in accordance with sections 144A.45 to 144A.47;
(2) inspect the office and records of a provider during regular business hours without advance notice to the home care provider;
(3) with the consent of the consumer, visit the home where services are being provided;
(4) issue correction orders and assess civil penalties in accordance with section 144.653, subdivisions 5 to 8, for violations of sections 144A.43 to 144A.47 or the rules adopted under those sections;
(5) take action as authorized in section 144A.46, subdivision 3; and
(6) take other action reasonably required to accomplish the purposes of sections 144A.43 to 144A.47.
(b) In the exercise of the authority granted in sections 144A.43 to 144A.47, the commissioner shall comply with the applicable requirements of section 144.122, the Government Data Practices Act, and the Administrative Procedure Act.
Subd. 3.
[Repealed, 1997 c 113 s 22]
Subd. 4.Medicaid reimbursement.
Notwithstanding the provisions of section 256B.37 or state plan requirements to the contrary, certification by the federal Medicare program must not be a requirement of Medicaid payment for services delivered under section 144A.4605.
Subd. 5.Home care providers; services for Alzheimer's disease or related disorder.
(a) If a home care provider licensed under section 144A.46 or 144A.4605 markets or otherwise promotes services for persons with Alzheimer's disease or related disorders, the facility's direct care staff and their supervisors must be trained in dementia care.
(b) Areas of required training include:
(1) an explanation of Alzheimer's disease and related disorders;
(2) assistance with activities of daily living;
(3) problem solving with challenging behaviors; and
(4) communication skills.
(c) The licensee shall provide to consumers in written or electronic form a description of the training program, the categories of employees trained, the frequency of training, and the basic topics covered.
History:
1987 c 378 s 5; 1989 c 282 art 2 s 25; 1991 c 286 s 8; 1997 c 113 s 2,3; 1998 c 254 art 1 s 30,31; 2002 c 252 s 5,6,24; 2003 c 37 s 2; 2008 c 326 art 1 s 2,3; 2009 c 174 art 2 s 5,6; 2010 c 246 s 1,2