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April 12, 2006
 
 
 
MEDICAID INFORMATION RELEASE MA06-09
 
 
TO:               Personal Care Services Agencies, Aged and Disabled Waiver Agencies, Traumatic Brain Injury Waiver Agencies, Developmentally Disabled Waiver Agencies
 
FROM:         Leslie M. Clement, Deputy Administrator
 
SUBJECT:    CLARIFICATION OF USE OF REGISTERED NURSE AND LICENSED PRACTICAL NURSE FOR SUPERVISORY VISIT AND ASSESSMENT AND EVALUATION
 
There has been some recent confusion regarding the use of registered nurses (RN) and licensed practical nurses (LPN) for the supervisory visit and for assessment and evaluation. These services are used for Personal Care Services (PCS), for the Aged and Disabled (A&D) Waiver, the Developmentally Disabled (DD) Waiver, and for the Traumatic Brain Injury (TBI) waiver.
 
When billing T1001 for PCS the agency must use a RN. 
 
When billing T1001 U2 for the A & D waiver the agency must use a RN.
 
When billing T1001 U3 for the TBI waiver the agency must use a RN.
 
When billing T1001 U8 for the DD waiver the agency must use a RN.
 
This is in keeping with the reimbursement rate for these services and with Board of Nursing rules, IDAPA 23.01.01, that outline the functions of RNs and LPNs.
 
If you have questions regarding this information, please contact Christine Baylis at 208-364-1891.  We appreciate your continued participation in the Idaho Medicaid Program.
 
 
LMC/cb/sw