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)5.5.
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)5.b.b. Drugs may be administered by an advanced practice nurse prescriber as authorized under ss. N 8.06 and 8.10.
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)(c) Prior authorization.
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)(d) Other limitations.
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)2.2. Discharge of a recipient from nursing care under this subsection shall be made in accordance with s. DHS 105.19 (9).
DHS 107.11(6)(d)3.3. The limitations under sub. (4) apply.
DHS 107.11(6)(d)4.4. Registered nurse supervision of an LPN is not separately reimbursable.
DHS 107.11(6)(e)(e) Non-covered services. The following services are not covered services under this subsection:
DHS 107.11(6)(e)1.1. Services listed in sub. (5);
DHS 107.11(6)(e)2.2. Private duty nursing services under s. DHS 107.12; and
DHS 107.11(6)(e)3.3. Any service that fails to meet the recipient’s medical needs or places the recipient at risk for a negative treatment outcome.
DHS 107.11 HistoryHistory: Cr. Register, February, 1986, No. 362, eff. 3-1-86; r. and recr. Register, April, 1988, No. 388, eff. 7-1-88; am. (3) (d) and (e), cr. (3) (f), Register, December, 1988, No. 396, eff. 1-1-89; emerg. r. and recr. eff. 7-1-92; r. and recr. Register, February, 1993, No. 446, eff. 3-1-93; emerg. cr. (3) (ag), eff. 1-1-94; correction in (6) (b) 1. made under s. 13.93 (2m) (b) 7., Stats., Register, April, 1999, No. 520; corrections in (1) (c), (2) (b) 1. and (5) (i) and (j) made under s. 13.93 (2m) (b) 7., Stats., Register, October, 2000, No. 538; correction in (4) (k) made under s. 13.93 (2m) (b) 7., Stats., Register February 2002 No. 554; CR 03-033: am. (6) (b) 5. Register December 2003 No. 576, eff. 1-1-04; corrections in (6) (b) 2. made under s. 13.93 (2m) (b) 7., Stats., Register December 2003 No. 576; corrections in (1) (c), (2) (intro.), (b) 1., (4) (c), (k), (5) (i), (j) and (6) (d) 2. made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636; CR 22-043: am. (1) (c) Register May 2023 No. 809, eff. 6-1-23; CR 23-046: r. and recr. (2), cr. (2m), r. (5) (t) Register April 2024 No. 820, eff. 5-1-24; correction in (2) (c) 2. a., c. made under s. 35.17, Stats., Register April 2024 No. 820.
DHS 107.112DHS 107.112Personal care services.
DHS 107.112(1)(1)Covered services.
DHS 107.112(1)(a)(a) Personal care services are medically oriented activities related to assisting a recipient with activities of daily living necessary to maintain the recipient in his or her place of residence in the community. These services shall be provided upon written orders of a physician by a provider certified under s. DHS 105.17 and by a personal care worker employed by the provider or under contract to the provider who is supervised by a registered nurse according to a written plan of care. The personal care worker shall be assigned by the supervising registered nurse to specific recipients to do specific tasks for those recipients for which the personal care worker has been trained. The personal care worker’s training for these specific tasks shall be assured by the supervising registered nurse. The personal care worker is limited to performing only those tasks and services as assigned for each recipient and for which he or she has been specifically trained.
DHS 107.112(1)(b)(b) Covered personal care services are:
DHS 107.112(1)(b)1.1. Assistance with bathing;
DHS 107.112(1)(b)2.2. Assistance with getting in and out of bed;
DHS 107.112(1)(b)3.3. Teeth, mouth, denture and hair care;