Section 414.405 - Provider ResponsibilitiesThe independent nurse must do the following.
(1) Maintain current physician or non-physician practitioner orders as described in 130 CMR 414.412 for all CSN services provided to members.(2) Document all care provided to the member as described in 130 CMR 414.417.(3) Maintain a copy of the member's record in the member's home and retain a copy of the member's record in a secure location that meets federal and state requirements for confidential patient information and protected health information. This could include a password-protected, electronic record that is only accessible by the independent nurse.(4) Comply with requests from the MassHealth agency or its designee for annual Criminal Offender Record Information requirements and other provider requirements.(5) Provide all skilled care as prescribed and include teaching during a CSN visit. During a CSN visit, the independent nurse may teach the member, family members, or primary natural caregivers how to manage the member's treatment regimen as applicable. Ongoing teaching must occur when there is a change in the procedure or the member's condition. All teaching activities must be documented in the member's record.(6) Make every attempt to coordinate care and/or changes in shifts with other CSN providers.(7) Follow any guidance established by EOHHS regarding discharge and transfer policies for MassHealth members.(8) Adhere to all regulations set forth in 130 CMR 414.000.Adopted by Mass Register Issue 1529, eff. 8/30/2024.