In-Home Services and Consumer-Directed Services
revised 1/28/13
Follow the current care plan as closely as possible Never serve more than approved units Intermittent changes: If the services provided do not substantially match the care plan, document why and attach the documentation to the time sheet. Permanent changes: If the units need to be decreased or increased contact DHSS and document the date of that contact in the participant record. If a participant does not want a certain service on the care plan, call DHSS for a care plan change. Example: A participant tells an aide that s/he does not want the aide to bathe her because s/he has made other arrangements. DHSS should be contacted to reduce the care plan. Document the date of that contact in the participant record. Listed below are the types of documentation MMAC Provider Review may request but are not limited to: Time sheets/telephony records Current care plan and LTACS/Web Tool Nurses Notes Training Records Employee Records Any other documents maintained by the provider that would support billings to MO HealthNet. Residential Care Facilities: Provide the services that on the current care plan Bill only for the days that services are provided. This will not always be 31 days. Times sheets must be signed daily per regulation 13 CSR 70-91.010(4)(A)2.f. Intermittent changes: If the services provided do not match the care plan, document why and attach the documentation to the time sheet. Permanent changes: If the units need to be increased or decreased, contact DHSS and document the date of the contact in the participant record. Listed below are the types of documentation MMAC Provider Review may request but are not limited to: Service delivery logs Written notes and observations Daily nursing chart Medication Administration Records (MAR) Census records Current care plan and LTACS/Web Tool Any other documents maintained by the provider that would support billings to MO HealthNet.