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2012 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 2. Medicaid Children’s Services Comprehensive Care Program (CCP) : 2.9 Private Duty Nursing (CCP) : 2.9.3 Prior Authorization and Documentation Requirements : 2.9.3.14 Documentation of Services Provided/Retrospective Review

2.9.3.14
Documentation elements that are routinely assessed for compliance in retrospective review of client records include, but are not limited to, the required documentation noted above, as well as the following:
Client’s arrival or departure from the home setting is documented with the time of arrival, departure, mode of transportation, and who accompanied the client.
Documentation of teaching the client or the client’s responsible adult includes the length of time, the subject of the teaching, the understanding of the subject matter by the person receiving the teaching, and other pertinent information.
If a client is receiving skilled nursing services through another program or service in addition to CCP, such as MDCP, each provider’s shift notes designate specifically which type of service they are providing during that shift.

Texas Medicaid & Healthcare Partnership
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