Current through September 2, 2024
Section 16.03.10.305 - PERSONAL CARE SERVICES: PROVIDER QUALIFICATIONS01.Provider Qualifications for Personal Assistants. All personal assistants must have at least one (1) of the following qualifications: c. Personal Assistant. A person who meets the standards of Section 39-5603, Idaho Code, and receives training to ensure the quality of services. The assistant must be at least age eighteen (18) years of age. The Department may require a certified nursing assistant (CNA) if, in their professional judgment, the participant's medical condition warrants a CNA.02.Provider Training Requirements. In the case where care is provided in the participant's own home, and the participant has a developmental disability that is not physical only and requires more than physical assistance, all those who provide care must have:a. Completed one (1) of the Department-approved developmental disabilities training courses; orb. Experience providing direct services to people with developmental disabilities.c. Department approval of whether developmental disability training is required. Providers who are qualified as QIDPs are exempted from the Department-approved developmental disabilities training course.d. Regional approval. To serve a participant with a developmental disability, a region may temporarily approve a PCS provider who meets all qualifications except for the required training course or experience, if all the following conditions are met:i. The Department verifies that there are no other qualified providers available;ii. The provider is enrolled in the next available training course with a graduation date no later than six (6) months from the date of the request for temporary provider status; andiii. The supervising QIDP makes monthly visits until the provider graduates from the training program.03.Provider Exclusion. If PCS is paid for by Medicaid, except in extraordinary circumstances as defined by the Department, a PCS service provider cannot be the spouse of any participant or be the parent of a participant if the participant is a minor child.04.Care Delivered in Provider's Home for a Child. When care for a child is delivered in the provider's home, the provider must be licensed or certified for the appropriate level of child foster care or day care. The provider must be licensed for care of individuals under age eighteen (18), under Section 39-1213, Idaho Code. Noncompliance with these standards is cause for termination of the provider agreement.05.Care Delivered in Provider's Home for an Adult. When care for an adult is provided in a home owned or leased by the provider, the provider must be certified as a CFH under IDAPA 16.03.19, "Certified Family Homes."06.Background Check. All PCS providers, including service coordinators, RN supervisors, QIDP supervisors, and personal assistants must obtain a background check as required by Section 39-5604, Idaho Code. The background check must be conducted under IDAPA 16.05.06, "Criminal History and Background Checks."07.Health Screen. Each Personal Assistance Agency employee who serves as a personal assistant must complete a health questionnaire. Personal Assistance Agencies must retain the health questionnaire in their personnel files. If the personal assistant indicates on the questionnaire that they have a medical problem, they are required to submit a statement from a physician or authorized provider that their medical condition does not prevent them from performing all the duties required of a personal care provider. Misrepresentation of information submitted on the health questionnaire may be cause for termination of employment for the personal assistant and would disqualify the employee to provide services to Medicaid participants.Idaho Admin. Code r. 16.03.10.305