Idaho Admin. Code r. 16.03.10.203

Current through September 2, 2024
Section 16.03.10.203 - PRIVATE DUTY NURSING: FACTORS ASSESSED FOR ELIGIBILITY AND REDETERMINATION

Factors assessed for eligibility/redetermination include:

01.Age for Eligibility. The individual is under the age of twenty-one (21) years.
02.Maintained in Personal Residence. That the child is maintained in their personal residence and receives safe and effective services through PDN services.
03.Medical Justification. The child receiving PDN services has medical justification and physician's orders.
04.Written Plan of Care. That there is an updated written plan of care signed by the attending physician, the parent or legal guardian, PDN, RN supervisor, and a representative from the Department.
05.Attending Physician. That the attending physician has determined the number of PDN hours needed to ensure the health and safety of the child in their home.
06.Redetermination. Redetermination will be at least annually. The purpose of an annual redetermination for PDN is to:
a. Determine if the child continues to meet the PDN criteria in Subsection 203.01 through 203.05 of these rules; and
b. Assure that services and care are medically necessary and appropriate.

Idaho Admin. Code r. 16.03.10.203

Effective March 17, 2022