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3.9 Private Duty Nursing (CCP)
3.9.1 Enrollment
LCHH services agencies may enroll to provide PDN under CCP. RNs and licensed vocational nurses (LVNs) may enroll independently to provide PDN under CCP.
Home health agencies must do all of the following:
• Comply with provider participation requirements for home health agencies that participate in Texas Medicaid
•Comply with mandatory reporting of suspected abuse and neglect of children or adults
•Maintain written policies and procedures for obtaining consent for medical treatment for clients in the absence of the parent/guardian
•Comply with all requirements in this manual and the Texas Medicaid Bulletin
Independently-enrolled RNs and LVNs must be enrolled as providers in CCP and comply with all of the following:
•The terms of the Texas Medicaid Provider Agreement
•All state and federal regulations and rules relating to Texas Medicaid
•The requirements of this manual, including all updates and revisions published in the Texas Medicaid Bulletin, all handbooks, standards, and guidelines published by HHSC
Independently enrolled RNs and LVNs must also:
•Provide at least 30 days' written notice to clients of their intent voluntarily to terminate services except in situations of potential threat to the nurse's personal safety.
•Comply with mandatory reporting of suspected abuse and neglect of children.
•Maintain written policies and procedures for obtaining consent for medical treatment for clients in the absence of the parent/guardian.
Independently enrolled RNs must:
•Hold a current license from the Texas BON or another compact state to practice as an RN.
•Agree to provide services in compliance with all applicable federal, state, and local laws and regulations, including the Texas Nursing Practice Act.
•Comply with accepted professional standards and principles of nursing practice.
Independently enrolled LVNs must:
•Hold a current license from the Texas BON to practice as an LVN.
•Agree to provide services in compliance with all applicable federal, state, and local laws and regulations, including the Texas Nursing Practice Act.
•Comply with accepted standards and principles of vocational nursing practice.
•Be supervised by an RN once per month. The supervision must occur when the LVN is present and be documented in the client's medical record.
Refer to: Subsection 3.2.2, "Enrollment" in this handbook for more information about CCP enrollment procedures.
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