DHS 105.17(1g)(c)7.7. Contracts with workers and other agencies.
DHS 105.17(1g)(c)8.8. Records of supervisory visits.
DHS 105.17(1g)(cm)(cm) Electronic visit verification. The provider is required to capture and retain EVV records.
DHS 105.17(1g)(d)(d) Billing. Bill the medical assistance program for services covered under s. DHS 107.112.
DHS 105.17(1k)(1k)Administrator and administrator qualifications.
DHS 105.17(1k)(a)(a) The administrator of a personal care agency shall meet all of the following requirements:
DHS 105.17(1k)(a)1.1. Be at least 21 years of age.
DHS 105.17(1k)(a)2.2. Have the ability to fulfill the job requirements, respond to the needs of the clients, and manage the personal care agency.
DHS 105.17(1k)(a)3.3. Have an associate degree or higher in a health care-related field from an accredited college, or a bachelor’s degree in a field other than in health care from an accredited college and one year experience working in a health care-related field.
DHS 105.17(1k)(a)4.4. Have training and experience in health care administration and at least one year of supervisory or administrative experience in home health care or personal care, or a related health program.
DHS 105.17(1k)(a)5.5. Be knowledgeable about this chapter and s. DHS 107.112, and take all reasonable steps to ensure that the personal care agency complies with the requirements of this chapter.
DHS 105.17(1k)(a)6.6. Be responsible for the overall provision of training and competency of all employees.
DHS 105.17(1k)(b)(b) Persons who are the administrator of record with the department of a personal care agency on the effective date of this rule shall be exempt from the qualification requirements specified under par. (a).
DHS 105.17(1n)(1n)Personnel management. The personal care provider shall document and implement a system of personnel management, if more than one personal care worker is employed or under contract, that includes all of the following:
DHS 105.17(1n)(a)(a)
DHS 105.17(1n)(a)1.1. Evaluate every personal care worker and RN supervisor employed by or under contract with the provider periodically according to the provider’s policy for quality of performance and adherence to the provider’s policies and this chapter and s. DHS 107.112. Evaluations shall be followed up with appropriate action.
DHS 105.17(1n)(a)2.2. Provide orientation and on-going instruction for RN supervisors and personal care workers. Personal care workers shall receive orientation before providing services to a client. The titles of the persons responsible for conducting orientation and training shall be specified in the plan. The plan shall include a system for providing instruction when an evaluation of the RN’s or personal care worker’s performance or competency indicates additional instruction may be needed. Orientation shall include training on all of the following:
DHS 105.17(1n)(a)2.a.a. Policies and objectives of the provider.
DHS 105.17(1n)(a)2.b.b. Information concerning specific job duties. Training shall be provided for each skill the personal care worker is assigned and shall include a successful demonstration of each skill by the personal care worker to the qualified trainer, under the supervision of the RN supervisor, prior to providing the service to a client independently. Only an RN may train others on a delegated act, as defined in s. N 6.02 (5), and s. N 6.03. The RN or qualified trainer shall document the personal care worker’s successful demonstration of each skill and maintain the information in their personnel file.
DHS 105.17(1n)(a)2.c.c. The functions of personnel employed by the provider and how they interrelate and communicate with each other in providing services.
DHS 105.17(1n)(a)2.d.d. Health and safety procedures for working in a home environment.
DHS 105.17(1n)(a)2.e.e. Epidemiology, modes of transmission and prevention of infections and the need for routine use of current infection control measures as recommended by the U.S. centers for disease control and prevention.
DHS 105.17(1n)(a)2.f.f. Responding to medical and non-medical emergencies.
DHS 105.17(1n)(a)2.g.g. Ethics, confidentiality of client information, and client rights.
DHS 105.17(1n)(a)3.3. Comply with the caregiver background check requirements under s. 50.065, Stats., and ch. DHS 12, including the disclosure requirements under s. 50.065 (2m), Stats., and s. DHS 12.115. The provider shall also comply with the caregiver misconduct reporting and investigation requirements under ch. DHS 13.
DHS 105.17(1n)(b)(b) Employ trained personal care workers as described under sub. (3), or train or arrange and pay for training of employed or subcontracted personal care workers as necessary. No employee or subcontractor may be assigned any duty for which he or she is not trained.
DHS 105.17(1n)(c)(c) Employ or contract with at least one registered nurse.
DHS 105.17(1n)(d)(d)
DHS 105.17(1n)(d)1.1. Supervise the provision of personal care services. Except as provided in subd. 2., services for all clients shall be supervised by an RN according to the requirements set forth in s. DHS 107.112 (3) (a) and (c). The visit to the client’s home by an RN shall be conducted at a time when the personal care worker will be directly observed providing personal care services to the client in the client’s home. The RN shall document the results of the visit including the observation of the personal care worker and maintain the information in their personnel file or other designated agency file. When observation of the personal care worker by the RN reveals a failure to follow the client’s care plan, the personal care provider shall provide counseling, education or retraining to ensure the personal care worker is adequately trained to complete their job responsibilities.