32 Miss. Code. R. 1-12.2
Within the certification year, it may be necessary to revise the POC due to changes in the needs of the client. The Counselor should request a service change in the POC, such as hours, days or SMS services, when there is significant improvement or decline in the client's condition and the POC does not reflect their current needs.
The OSDP Counselor must obtain appropriate documentation to support the need to change services. The request must be submitted for review and approval to their District Manager prior to any changes made to the POC.
The Counselor must:
* Review PCA Task Assignment Sheet and Timesheets to determine tasks the PCA is currently performing;
* Determine the reason(s) for the request to change services and review specific information from the client indicating that the client's condition requires a change in services;
Example:If the care was being provided as unpaid care by a family member, determine why this person is now unable to provide the care; OR determine if the client has had a significant change in their medical condition.
* Obtain the client's consent to request current medical information, if additional documentation is needed, to support the change in their medical condition. Include this information, if obtained, prior to submitting the request for approval;
* Submit all supporting documentation, case notes, and a copy of the POC for review and approval to the District Manager. NOTE: The District Manager, at their discretion, has the option of submitting the request to the OSDP Administrative RN for additional review of medical documentation.
Once the District Manager has reviewed the request, determined if funds are available, he/she will notify the counselor in writing of the approval/disapproval;
If the disapproval is based on documentation submitted, a request will be made to the Counselor to submit or clarify documentation prior to final decision.
If the request has been approved, the District Manager will instruct the Counselor to amend the "electronic POC" and the "handwritten POC" to reflect the change(s) in services. (See Resource Guide for detailed instructions for submission to DOM.) The Counselor will save the amended electronic POC and then submit this to the POC/105 database.
A message form is not needed for this particular process. This means that DOM's approval is not needed when amending hours on the POC.
The approved increase in hours on the client's timesheets and the amended date on the electronic POC should be one and the same.
Therefore, the PCA cannot work the additional hours until the above procedure has been completed.
When the electronic POC is amended, the ILP in AACE must be amended immediately to reflect the change.
Counselor will send a MDRS Notice of Action to the client informing he/she of the changes in services.
32 Miss. Code. R. 1-12.2