7 AAC 43.780. Agency-based program; supervising registered nurse

(a) A personal care agency in the agency-based program shall retain a supervising registered nurse, licensed under AS 08.68, to perform the following duties:

(1) obtain from the department prior authorization to implement the PCAT service plan for each recipient;

(2) at least once every six months perform, or supervise the performance of, a review of the recipient's services, including

(A) interviewing the recipient at the recipient's residence to assure services are provided and meeting the recipient's needs;

(B) evaluating the service records, including time sheets prepared by the recipient's personal care assistant;

(D) determining whether progress is being made toward achieving the service goal; and

(F) notifying the department of any recommended changes in the number of personal care service hours and the reasons for the recommended changes;

(3) if the recipient resides in a community not accessible by road or air service, arrange for telephone, radio, or, if feasible, in-person contact with the recipient and the personal care assistant to the extent allowed by the recipient's PCAT service plan and the condition of the recipient, and request that the department waive the residence visitation requirements of this section if necessary; if the six-month, in-person visitation is waived, an in-person visitation must occur annually;

(4) put written provisions in the recipient's file for emergency situations that the personal care assistant may encounter;

(5) maintain communications with the recipient, the recipient's physician, if any, and the personal care assistant;

(6) maintain a service record for each recipient that includes a

(A) copy of each PCAT service plan, assessment, and evaluation made for the duration of care including changes made under 7 AAC 43.751;

(B) copy of the personal care assistant's time sheets; and

(C) record of all contacts with the recipient, the recipient's health care provider, if any, and the personal care assistant.

(b) A supervising registered nurse under (a) of this section is subject to the reporting requirements of AS 47.17.020 and AS 47.24.010 .

(c) For purposes of this section, "supervising" means implementing and overseeing the PCAT service plan for a recipient in accordance with this section. A supervising nurse is not required to perform administrative or personnel functions such as hiring, disciplining, scheduling, or terminating a personal care assistant.

History: Eff. 11/6/86, Register 100; am 6/27/92, Register 122; readopt 8/7/96, Register 139; am 10/21/98, Register 148; am 10/1/2001, Register 159; am 1/1/2002, Register 160; am 6/19/2004, Register 170; am 4/1/2006, Register 177

Authority: AS 47.05.010

AS 47.07.030

Editor's note: Effective 8/7/96, Register 139, the Department of Health and Social Services readopted 7 AAC 43.780 in its entirety, without change, under AS 47.05 and AS 47.07. Executive Order No. 72 transferred certain rate-setting authority to the department.

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