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24.5.3 Home Health Skilled Nursing and Home Health Aides Services Provider Responsibilities
Providers must be a licensed home health agency enrolled in the Texas Medicaid Program and must comply with all applicable federal, state, and local laws and regulations and Texas Medicaid Program policies and procedures. All providers must maintain written policies and procedures for obtaining consent for medical treatment for clients in the absence of the primary caregiver that meet the standards of the Texas Family Code, Chapter 32, and obtaining physician signatures for all telephone orders within 14 calendar days of receipt of the order.
Providers must only accept clients on the basis of a reasonable expectation that the client's needs can be adequately met in the place of service. The essential elements of safe and effective home health SN and/or HHA services include a trained parent, guardian, or caregiver, a primary physician, competent providers, and an environment that supports the client's health and safety needs.
The place of service must be able to support the health and safety needs of the client and must be adequate to accommodate the use, maintenance, and cleaning of all medical devices, equipment, and supplies required by the client. Necessary primary and back-up utility, communication, and fire safety systems must be available.
Note: A parent or guardian, primary caregiver, or alternate caregiver may not provide SN and/or HHA services even if he or she is an enrolled provider or employed by an enrolled provider.
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