La. Admin. Code tit. 50, § XXI-8321 - Nursing Services
A. Nursing
services are services that are medically necessary and may only be provided
efficiently and effectively by a registered nurse or a licensed practical nurse
working under the supervision of a registered nurse. These nursing services
provided must be within the scope of the Louisiana statutes governing the
practice of nursing.
B. Nursing
services may include periodic assessment of the participant's medical condition
when the condition requires a skilled nurse to identify and evaluate the need
for medical intervention or to monitor and/or modify the medical treatment
services provided by non-professional care providers.
C. Services may also include regular, ongoing
monitoring of a participant's fragile or complex medical condition as well as
the monitoring of a participant with a history of noncompliance with medication
or other medical treatment needs.
D. Nursing may also be used to assess a
participant's need for assistive devices or home modifications, training the
participant and family members in the use of the purchased devices, and
training of direct service workers in tasks necessary to carry out the
POC.
E. Where applicable, a
participant must use Medicare, Medicaid State Plan services, or other available
payers first. The participant's preference for a certain staff or agencies is
not grounds for declining another payer in order to access waiver
services.
F. All services must be
based on a verified need of the participant. The service must have a direct or
remedial benefit to the participant with specific goals and outcomes.
Notes
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