DHS 107.11(5)(q)(q) A visit made by a skilled nurse, physical or occupational therapist or speech pathologist solely to train other home health workers; DHS 107.11(5)(r)(r) Any home health service included in the daily rate of the community-based residential facility where the recipient is residing; DHS 107.11(5)(s)(s) Services when provided to a recipient by the recipient’s spouse or parent if the recipient is under age 18; DHS 107.11(5)(u)(u) Any service which is performed in a place other than the recipient’s residence; and DHS 107.11(6)(a)(a) Definition. In this subsection, “part-time, intermittent care” means skilled nursing services provided in a recipient’s home under a plan of care which requires less than 8 hours of skilled care in a calendar day. DHS 107.11(6)(b)1.1. Part-time, intermittent nursing care may be provided by an independent nurse certified under s. DHS 105.19 when an existing home health agency cannot provide the services as appropriately documented by the nurse, and the physician’s prescription specifies that the recipient requires less than 8 hours of skilled nursing care per calendar day and calls for a level of care which the nurse is licensed to provide as documented to the department. DHS 107.11(6)(b)2.2. Services provided by an MA-certified registered nurse are those services prescribed by a physician which comprise the practice of professional nursing as described under s. 441.001 (4), Stats., and s. N 6.03. Services provided by an MA-certified licensed practical nurse are those services which comprise the practice of practical nursing under s. 441.001 (3), Stats., and s. N 6.04. An LPN may provide nursing services delegated by an RN as delegated nursing acts under the requirements of ss. N 6.03 and 6.04 and guidelines established by the state board of nursing. DHS 107.11(6)(b)3.3. A written plan of care shall be established for every recipient admitted for care and shall be signed by the physician and incorporated into the recipient’s medical record. A written plan of care shall be developed by the registered nurse or therapist within 72 hours after acceptance. The written plan of care shall be developed by the registered nurse or therapist in consultation with the recipient and the recipient’s physician and shall be signed by the physician within 20 working days following the recipient’s admission for care. The written plan of care shall include, in addition to the medication and treatment orders: DHS 107.11(6)(b)3.b.b. Methods for delivering needed care, and an indication of which, if any, professional disciplines are responsible for delivering the care; DHS 107.11(6)(b)3.c.c. Provision for care coordination by an RN when more than one nurse is necessary to staff the recipient’s case; DHS 107.11(6)(b)3.d.d. Identification of all other parties providing care to the recipient and the responsibilities of each party for that care; and DHS 107.11(6)(b)3.e.e. A description of functional capabilities, mental status, dietary needs and allergies. DHS 107.11(6)(b)4.4. The written plan of care shall be reviewed, signed and dated by the recipient’s physician as often as required by the recipient’s condition but at least every 62 days. The RN shall promptly notify the physician of any change in the recipient’s condition that suggests a need to modify the plan of care. DHS 107.11(6)(b)5.a.a. Except as provided in subd. 5. b., drugs and treatment shall be administered by the RN or LPN only as ordered by the recipient’s physician or his or her designee. The nurse shall immediately record and sign oral orders and shall obtain the physician’s countersignature within 10 working days. DHS 107.11(6)(b)6.6. Supervision of an LPN by an RN or physician shall be performed according to the requirements under ss. N 6.03 and 6.04 and the results of supervisory activities shall be documented and communicated to the LPN. DHS 107.11(6)(c)1.1. Prior authorization requirements under sub. (3) apply to services provided by an independent nurse. DHS 107.11(6)(c)2.2. A request for prior authorization of part-time, intermittent care performed by an LPN shall include the name and license number of the registered nurse supervising the LPN. DHS 107.11(6)(d)1.1. Each independent RN or LPN shall document the care and services provided. Documentation required under par. (b) of the unavailability of a home health agency shall include names of agencies contacted, dates of contact and any other pertinent information. DHS 107.11(6)(d)4.4. Registered nurse supervision of an LPN is not separately reimbursable.