(DD) Waiver Service Standards - New Mexico Department of Health

Developmental Disabilities (DD) Waiver Service Standards
Effective Date: April 1, 2007
TABLE OF CONTENTS
GENERAL AUTHORITY
DEFINITIONS
i
iii
CHAPTER 1
INTRODUCTION 1
I. PROVIDER AGENCY ENROLLMENT PROCESS 1
A. Applications 1
B. Issuance 1
C. Types of Provider Agency Agreements 1
D. Scope of DDSD Agreement 2
E. Provider Agency Renewal Application 2
F. Provider Agency Report of Changes in Operations 2
G. Automatic Expiration of Provider Agency Agreement 2
H. Program Flexibility 3
I. Continuous Quality Management System 3
II. PROVIDER AGENCY REQUIREMENTS 3
A. General Requirements 4
B. Provider Agency Policy and Procedure Requirements 4
C. Provider Agency Financial Records and Accounting 4
D. Provider Agency Case File for the Individual 4
E. Medication Delivery 5
F. Nurse Delegation 6
G. Transportation 7
III. PROVIDER AGENCY DOCUMENTATION OF SERVICE DELIVERY AND
LOCATION 7
A. General 7
B. Billable Units 7
C. Individual Progress Reports 7
D. Records Retention 8
E. Healthcare Documentation by Nurses for Community Living Services,
Community Inclusion Services and Private Duty Nursing Services 8
F. Sanitation 11
G. Quarterly Reports of Service Location 11
IV. GENERAL REQUIREMENTS FOR PROVIDER AGENCY SERVICE
PERSONNEL 11
A. Communicable Diseases 11
B. Volunteers 11
C. Orientation and Training Requirements 11
D. Criminal History Screening 12
E. DOH and Provider Agency Conflict of Interest 12
F. Qualifications for Direct Service Personnel 12