State regulators provide explanations to help with compliance. Changes to state regulations (Nevada Administrative Code 449) affecting home health agencies have been approved and are now in effect. To help agencies understand these changes, explanations are provided below.
R048-22 adds two new Nevada Administrative Code provisions, as described below (section and page numbers are within R048-22):
Section 55 (page 59) revises NAC 449.793
Section 57 (page 61) revises NAC 449.797 The following information must be included in each patient’s home health clinical record:
Section 58 (page 63) makes changes to NAC 449.800 Physician assistants and advanced practice registered nurses are now allowed to independently complete the face-to-face encounter and documentation, and to order, certify, and sign for home health care services and durable medical equipment. Everything else remains unchanged. (Cross reference NAC 449.800 with SOM Appendix B, G536, G574 through G598. Note: SOM Appendix B has not been updated to reflect the NAC 449.800 and corresponding G tag changes. However, the Medicare Benefit Policy Manual, Chapter 7 – Home Health Services and the Medicare General Information, Eligibility and Entitlement, Chapter 4 – Physician Certification and Recertification of Services have been updated to reflect the change. Once the updated SOM Appendix B becomes available, the OASIS Education Coordinator will notify you.) Repealed regulations As noted in the “Text of Repealed Sections” of LCB File No R048-22, a number of state home health regulations are no longer in effect. They have been removed to avoid duplication and/or conflict with the “Appendix B – Guidance to Surveyors: Home Health Agencies.”
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Guidance for health care workers, personal caregivers in home residence or community-based settings updated March 2022 The Nevada Department of Health and Human Services has developed a guidance document called “Recommended Infection Prevention and Control Plan for Agencies that Provide Services in a Client’s Home Coronavirus Disease 2019 (COVID-19) Response - Best Practices as of March 2022.” This guidance is for organizations that have health care workers (licensed and unlicensed staff) and personal caregivers who provide care to individuals at their home residence or community-based settings. The document provides general infection prevention and control guidance in relation to prevention of COVID-19 transmission.
The document can be viewed and downloaded from the following web pages dedicated to the specific licensed health facility types to which the guidance applies:
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AuthorThe Bureau of Health Care Quality and Compliance (HCQC) licenses medical and other health facilities, child care facilities and personnel, and medical laboratories and personnel in Nevada. HCQC also conducts compliance surveys and takes complaints. Archives
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