The federal declaration of the COVID-19 public health emergency will terminate on May 11, 2023. Due to the expiration of the federal COVID-19 public health emergency, the following Private Duty Nursing Program flexibilities described in the MO HealthNet Provider Bulletin Volume 42, Number 32 dated March 17, 2020 will terminate.
ANNUAL PERFORMANCE EVALUATIONS
Annual performance evaluations that come due will not be required to have any on-site visits performed. This flexibility will end effective May 11, 2023. Performance evaluations due between May 11, 2023 and November 11, 2023 must have a least one on-site visit. Annual performance evaluations due after November 11, 2023 must have two on-site evaluations.
RN SUPERVISORY VISITS
RN supervisory visits for participants receiving LPN services will not be required. This flexibility will end on May 11, 2023.
PERSONNEL TRAINING
The four hours of orientation training for new employees is waived with the exception of child abuse/neglect indicators and reporting, and universal precaution procedures. This flexibility will end on May 11, 2023. Employees are not required to retroactively complete the four hours of orientation training waived between March 17, 2020 and May 11, 2022.
GRADUATE NURSES
Nursing care by a graduate LPN or graduate RN will be allowed. A graduate LPN or graduate RN may provide nursing services (during this public health emergency) until receipt of the results of the first licensure examination taken by the graduate nurse or until ninety (90) days after graduation, whichever comes first. This flexibility will end on May 11, 2023.
PROVIDER REASSESSMENTS
Provider 60 day assessments to reestablish the plan of care and resumption of care assessments following a hospitalization may be completed through telehealth as determined appropriate by the PDN provider. This flexibility will end on May 11, 2023.
PLANS OF CARE (485)
For initial assessments and reassessments, verbal or written orders for care/services must be obtained prior to delivery of service. The submission of the 485 Plan of Care form may be delayed; however, it must be submitted within 30 days after the end of the public health emergency. Prior authorization will be completed by the Bureau of Special Health Care Needs upon receipt of the 485 Plan of Care. This flexibility will end on May 11, 2023.