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3.9.3.11 Responsible Adult or Identified Contingency Plan Requirement
For clients who are birth through 17 years of age, the client must reside with an identified responsible adult who is either trained to provide nursing care or is capable of initiating an identified contingency plan when the scheduled private duty nurse is unexpectedly unavailable.
• "Responsible adult" means an individual who is an adult, as defined by the Texas Family Code, and who has agreed to accept the responsibility for providing food, shelter, clothing, education, nurturing, and supervision for the recipient. Responsible adults include, but are not limited to: biological parents, adoptive parents, foster parents, guardians, court-appointed managing conservators, and other family members by birth or marriage.
•An identified contingency plan is a structured process, designed by the responsible adult and the PDN provider, by which a client will receive care when a scheduled private duty nurse is unexpectedly unavailable, and the responsible adult is unavailable, or is not trained, to provide the nursing care. The responsible adult must be able to initiate the identified contingency plan.
The responsible adult's signature must be on the form acknowledging:
•Information about CCP PDN has been discussed and received.
•PDN may change or end based on a client's need for nursing care.
•PDN is not authorized for the primary purpose of providing respite, childcare, ADLs, or housekeeping.
•All requirements have been met before seeking prior authorization for PDN.
•The responsible adult has participated in the development of the POC and the nursing care plan for the client.
•Emergency plans have been made and are part of the client's care plan.
•The client or responsible adult agrees to follow the physician's POC.
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