Section 16.03.10.729 - SERVICE COORDINATION: PROVIDER QUALIFICATIONSService coordination services must be provided by an agency as defined in Section 721 of these rules.
01.Provider Agreements. Service coordinators must be employees or contractors of an agency that has a valid provider agreement with the Department.02.Supervision. The agency must provide supervision to all service coordinators and paraprofessionals. The agency must clearly document:a. Each supervisor's ability to address concerns about the services provided by employees and contractors under their supervision, andb. That a paraprofessional is not a supervisor.03.Agency Supervisor Required Education and Experience. a. Master's Degree in a a human services field from a nationally accredited university or college, and have twelve (12) months supervised work experience with the population being served; orb. Bachelor's degree in a human services field from a nationally accredited university or college, and have twenty-four (24) months supervised work experience with the population being served.c. Be a licensed registered nurse (RN) and have twenty-four (24) months supervised work experience with the population being served.04.Service Coordinator Education and Experience.a. Minimum of a Bachelor's degree in human services field from a nationally accredited university or college and have twelve (12) months supervised work experience with the population being served; orb. Be a licensed registered nurse (RN) and have twelve (12) months work experience with the population being served.c. When an individual meets the education or licensing requirements in Subsections 729.04.a. or 729.04.b. of this rule, but does not have the required supervised work experience, the individual must be supervised by a qualified service coordinator while gaining the required work experience.05.Paraprofessional Education and Experience. Under the supervision of a qualified service coordinator, a paraprofessional may be used to assist in the implementation of the plan. Paraprofessionals must have the following qualifications: a. Be at least eighteen (18) years of age and have a minimum of a high school diploma or equivalency;b. Be able to read and write at an appropriate level to process the required paperwork and forms involved in the provision of the service; andc. Have twelve (12) months supervised work experience with the population being served.06.Limitations on Services Delivered by Paraprofessionals. Paraprofessionals must not conduct assessments, evaluations, person-centered planning meetings, ninety (90) day face-to-face contacts described in Section 728.06 of these rules, one hundred eighty (180) day progress reviews, plan development, or plan changes. Paraprofessionals cannot be identified as the service coordinator on the plan and they cannot supervise service coordinators or other paraprofessionals.07.Criminal History Check Requirements. Service coordination agencies must verify that each service coordinator and paraprofessional they employ or with whom they contract has complied with Section 009 of these rules and IDAPA 16.05.06, "Criminal History and Background Checks."08.Health, Safety and Fraud Reporting. Service coordinators are required to report any concerns about health and safety to the appropriate governing agency and to the Department. Service coordinators must also report fraud, including billing of services that were not provided, to the Department unit responsible for authorizing the service; and to the Surveillance and Utilization Review Unit (SUR) within the Department or its toll-free Medicaid fraud hotline.09.Individual Service Coordinator Case Loads. The total caseload of a service coordinator must assure quality service delivery and participant satisfaction.Idaho Admin. Code r. 16.03.10.729