Idaho Admin. Code r. 16.03.10.306

Current through September 2, 2024
Section 16.03.10.306 - PERSONAL ASSISTANCE AGENCY (PAA): QUALIFICATIONS AND DUTIES
01.Provider Agreement Required. A Personal Assistance Agency is an organization that has signed the Medicaid Provider General Agreement and the Additional Terms-Personal Assistance Agencies, Aged and Disabled Waiver Provider Agreement with the Department. The PAA agrees to comply with all conditions within the agreements. A Personal Assistance Agency may also provide fiscal intermediary services in accordance with Section 329 of these rules. Each Personal Assistance Agency must direct, control, and monitor the work of each of its personal assistants.
02.Responsibilities of a Personal Assistance Agency. A Personal Assistance Agency must be capable of and is responsible for all of the following, no matter how the PAA is organized or the form of the business entity it has chosen:
a. Recruitment, hiring, firing, training, supervision, scheduling and payroll for personal assistants and the assurance that all providers are qualified to provide quality service;
b. Participation in the provision of worker's compensation, unemployment compensation and all other state and federal tax withholdings;
c. Maintenance of liability insurance coverage. Termination of either worker's compensation or professional liability insurance by the provider is cause for termination of the provider's provider agreement;
d. Provision of a licensed registered nurse (RN) or, where applicable, a QIDP supervisor to develop and complete plans of care and provide ongoing supervision of a participant's care;
e. Assignment of qualified personal assistants to eligible participants after consultation with and approval by the participants;
f. Assuring that all personal assistants meet the qualifications in Subsection 305.01 of these rules;
g. Billing Medicaid for services approved and authorized by the BLTC;
h. Collecting any participant contribution due;
i. Conducting, at least annually, participant satisfaction or quality control reviews that are available to the Department and the general public; and

Idaho Admin. Code r. 16.03.10.306

Effective March 17, 2022