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virginia home health care regulations

virginia home health care regulations

Apr 09th 2023

are performed in an operating room or while the patient is under anesthesia; require direct visualization or instrumentation of bodily structures; involve sampling of tissue or insertion/removal of medical devices; and/or, otherwise require the in-person presence of the patient for any reason, Assessment, including telemedicine assisted assessment. The Provider must have an established relationship with the member receiving the RPM service, including at least one visit in the last 12 months (which can include the date RPM services are initiated). VA Code Annotated Sec. Facility fee is only available for synchronous telehealth services. (Accessed Nov. 2022). Learn more about us DMAS and all managed care organizations (MCOs) will cover remote patient monitoring (RPM) services for full benefit Medicaid and FAMIS populations in accordance with the 2021 Special Session I Budget, Item 313.VVVVV. CCHP does not share or sell personal data. WebAbingdon, Virginia Support to Clinical Supervisor Medical Biller Advantage billing solution Apr 2014 - Aug 20145 months Primary Mental Health Billing to third party payers. Billing Instructions, (Oct. 2021), (Accessed Nov. 2022). MCOs will adopt equivalent service authorization criteria and quantity limits as FFS. WebThe law has 3 primary goals: Make affordable health insurance available to more people. Prescribing controlled substances requires the establishment of a bona fide practitioner-patient relationship in accordance with 54.1-3303 (A) of the Code of Virginia. See rules for the practice of teledentistry specifically. Medicaid Provider Manual, Addiction and Recovery Treatment Services, Covered Svcs and Limitations, (Mar. SOURCE: VA Dept. Bulletin Coverage of Remote Patient Monitoring/Update to Telehealth Services Supplement. (Accessed Nov. 2022). They must receive orientation. Credentialed Addiction Treatment Professional means: An individual licensed or registered with the appropriate board in the following roles: Preferred OBAT services must be provided by a buprenorphine-waivered practitioner and a co-located Credentialed Addiction Treatment Professional and may be provided in a variety of practice settings including primary care clinics, outpatient health system clinics, psychiatry clinics, Federally-Qualified Health Centers (FQHCs), Community Service Boards (CSBs), local health department clinics, and physicians/physician extenders offices. DMAS will reimburse an originating site fee to emergency ambulance transport providers for facilitating a telemedicine consultation between a Medicaid member and a Medicaid- enrolled provider for the purposes of identifying whether the Medicaid member is in need of emergency ambulance transportation. VA Dept. After you meet the Part B deductible, 20% of the Medicare-Approved Amount for Medicare-covered medical equipment. Article 6. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), p. 2 (Oct. 2022) (Accessed Nov. 2022). SOURCE: VA Department of Medical Assistance Services. WebLegislation Clinical Laboratory Improvement Amendments (CLIA) Conditions for Coverage (CfCs) & Conditions of Participations (CoPs) Deficit Reduction Act Economic Recovery Act of 2009 Promoting Interoperability (PI) Programs Emergency Medical Treatment & Labor Act (EMTALA) Freedom of Information Act (FOIA) Legislative Update Highly Rated Home Care Agencies in Virginia, Career Outlook and Average Home Health Aide Salary in Virginia, Online programs at the Certificate (Medical Assisting, Medical Billing & Coding), Associate's (Fire Science and many others), Bachelor's (Fires Science, Fire and Emergency Management, Health & Wellness, Nutrition, Health Care Administration, Health Information Management, Psychology, Legal Studies, and more), Johns Hopkins Bloomberg School of Public Health, http://www.fairfaxcounty.gov/dfs/olderadultservices/in-home-care-guide.htm, https://www.law.cornell.edu/cfr/text/42/484.36, https://www.dhp.virginia.gov/nursing/nursing_forms.htm, https://www.medicare.gov/homehealthcompare, https://www.caring.com/articles/caringstars2017-in-home-care, Maintaining a safe and livable environment, Reading and recording pulse and other vitals, Understanding body functions and changes in function that require reporting, Providing safe, appropriate hygiene and grooming (for example, bed baths, oral hygiene, shampoos), Positioning clients and promoting normal range of motion, Using safe ambulation and transfer techniques, Maintaining adequate fluid and nutrition intake, Recognizing emergencies and following the proper procedures, Southern Virginia Regional Home Health Emporia, Home Nursing Services of Southwest VA Inc. Abingdon, Home Instead Senior Care Fredericksburg. CCHP encourages you to check with the appropriate state agency for further information and direction. 54.1-2700 (Accessed Nov. 2022). Code of Virginia 22.1-270) requires that your child is immunized and receives a comprehensive physical examination before entering public However, no license shall be issued to a person who has been sanctioned pursuant to 42 We encourage you to perform your own (Accessed Nov. 2022). SOURCE: VA Code Annotated Sec. Bulletin Coverage of Remote Patient Monitoring/Update to Telehealth Services Supplement, (Mar. Respiratory therapy services; or 6. VA Board of Medicine. Web4.2.a. Medication Assisted Treatment (MAT) Outpatient Settings non OTP/OBAT Settings. Web4.2.a. Any practitioner of a profession regulated by the Board of Medicine who is licensed in another state or the District of Columbia and who is in good standing with the applicable regulatory agency in that state or the District of Columbia from engaging in the practice of that profession in the Commonwealth with a patient located in the Commonwealth when (i) such practice is for the purpose of providing continuity of care through the use of telemedicine services as defined in 38.2-3418.16 and (ii) the patient is a current patient of the practitioner with whom the practitioner has previously established a practitioner-patient relationship and the practitioner has performed an in-person examination of the patient within the previous 12 months. An addiction-credentialed physician or physician with experience or training in addiction medicine; Physician extenders with experience or training in addiction medicine; A certified psychiatric clinical nurse specialist; A licensed psychiatric nurse practitioner; A licensed marriage and family therapist; A licensed substance abuse treatment practitioner; A resident who is under the supervision of a licensed professional counselor (18VAC115-20-10), licensed marriage and family therapist (18VAC115-50-10), or licensed substance abuse treatment practitioner (18VAC115-60-10) and is registered with the Virginia Board of Counseling; A resident in psychology who is under supervision of a licensed clinical psychologist and is registered with the Virginia Board of Psychology (18VAC125-20-10); or. Telemedicine does not include an audio-only telephone. Telemedicine does not include an audio-only telephone. Section 38.2-3418.16 defines telemedicine as the use of electronic technology or media, including interactive audio or video, for the purpose of diagnosing or treating a patient, providing remote patient monitoring services, or consulting with other health care providers regarding a patients diagnosis or treatment, regardless of the originating site and whether the patient is accompanied by a health care provider at the time such services are provided. To practice telemedicine into Virginia requires a license from the Board of Medicine. SOURCE: Telemedicine Guidance. The National Telehealth Policy Resource Center project is made possible by Grant #U6743496 from the Office for the Advancement of Telehealth, Health Resources and Services Administration, DHHS. Where an existing practitioner-patient relationship is not present, a practitioner must take appropriate steps to establish a practitioner-patient relationship consistent with the guidelines identified in this document, with Virginia law, and with any other applicable law. VA Medicaid Telehealth Questions and Answers (Aug. 2021). The encounter rate methodology for FQHCs and RHCs is described in 12VAC30-80-25; the encounter rate for IHCs (including Tribal clinics) is the All Inclusive Rate set by Indian Health Services. SOURCE: VA Dept. and Limitations, (Oct. 2021). SOURCE: VA Code Annotated Sec. Please reference the updated Telehealth Supplement, and its associated references, for FFS policies, service authorization criteria, quantity limits and billing processes. VA Code Annotated Sec. Medicaid Provider Manual, Addiction and Recovery Treatment Services, Opioid Treatment Services/Medication Assisted Treatment, (Mar. If the Member does not receive emergency ambulance transportation subsequent to and based on the facilitated telemedicine consultation, submit one claim for Q3014 on a CMS-1500. (Accessed Nov. 2022). P. 2 & 4-5 (Aug. 19, 2021). Home Care Nurse education and training requirements. A Home Care Nurse usually requires a degree in nursing, life sciences, anatomy or a related field. A Level 3 Diploma in Health, Science or Nursing may be required to obtain a degree. Other possible requirements include a degree apprenticeship in a healthcare setting such as a hospital or hospice. In this circumstance, the Provider shall be reimbursed only for services successfully delivered. Oct. 23, 2019. Oct. 23, 2019, (Accessed Nov. 2022). Telemedicine services does not include an audio-only telephone, electronic mail message, facsimile transmission, or online questionnaire. Such plan shall include a provision for payment of medical assistance for remote patient monitoring services provided via telemedicine for specific conditions (see section below). Are You Ready to Open a Child Care Business? P. 2-4 (Aug. 19, 2021). While each circumstance is unique, such practitioner-patient relationships may be established using telemedicine services provided the standard of care is met. PLEASE NOTE: CCHP is providing the following for informational purposes only. As indicated by the Centers for Medicare and Medicaid Services (CMS), and accepted by the Medicaid MCOs and the DMAS fee-for-service contractor, a Mobile Unit is designated as place of service (POS) 15 and is defined as a facility or unit that moves from place to place equipped to provide preventive, screening, diagnostic, and/or treatment services: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set. To ensure appropriate insurance coverage, practitioners must make certain that they are compliant with federal and state laws and policies regarding reimbursements. Many listings are from partners who compensate us, which may influence which programs SOURCE: VA Dept. 23-Hour Crisis Stabilization Level of Care Guidelines. Adds to the conditions aprescriber must meet for a bona fide practitioner-patient relationshipfor the purpose of prescribing Schedule II through VI controlled substances by an examination through face-to-face interactive, two-way, real-time communications services or store-and-forward technologies. Addiction and Recovery Treatment Services (ARTS). See guidance for list of what to include. (Accessed Nov. 2022). Telemedicine is the real-time or near real-time exchange of information for diagnosing and treating medical conditions. Medicaid Provider Manual, Local Education Agency Provider Manual, Covered Svcs. Medicaid Provider Manual, Local Education Agency Provider Manual, Covered Svcs. VA Board of Medicine. These circumstances may include but are not limited to: member transportation issues, member childcare needs, member employment schedule, member co-morbidities, member distance to provider, etc.). VA Dept. (Accessed Nov. 2022). The Medicaid member is located at a provider office or other location where services are delivered on an in-person basis (this does not include the members residence); The member and distant site Provider are not located in the same location; and. For the purpose of prescribing Schedule VI controlled substances, telemedicine services is defined as it is in 38.2-3418.16 of the Code of Virginia. See our Privacy Policy. SOURCE: VA Department of Medical Assistant Services. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), (Oct. 2022) (Accessed Nov 2022). A members medical information may include, but is not limited to, video clips, still images, x-rays, laboratory results, audio clips, and text. Doc. Book C - Schedule for Rating Disabilities. 54.1-2937 (Temporary licenses to interns and residents in hospitals and other organizations) Va. Code Ann. of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), (Oct. 2022) & VA Dept. Face-to-face encounters may occur through telemedicine, which is defined as the two-way, real time interactive electronic communication between the member and the Provider located at a site distant from the member. Adult Programs Regulated by the Division Adult Day Care Centers (ADCC) Assisted Living Facilities (ALF) WebMCH213G reviewed 10/2020 1 Part I HEALTH INFORMATION FORM State law (Ref. By law, the persons licensed as health care practitioners have a duty to report to the Virginia Department of Social Services or the local departments of social services For the purposes of this subdivision, if a patient is (a) an enrollee of a health maintenance organization that contracts with a multispecialty group of practitioners, each of whom is licensed by the Board of Medicine, and (b) a current patient of at least one practitioner who is a member of the multispecialty group with whom such practitioner has previously established a practitioner-patient relationship and of whom such practitioner has performed an in-person examination within the previous 12 months, the patient shall be deemed to be a current patient of each practitioner in the multispecialty group with whom each such practitioner has established a practitioner-patient relationship. Telehealth shall not include by telephone or email. Medicaid: Behavioral Health and ARTS Provider Flexibilities Related to COVID-19 (3/27), Medicaid: Home and Community Based Services Waivers (HCBS) COVID-19 Policy Continuation and Timeline, Medicaid: COVID Active Flexibilities Update for April 19, 2022, Medicaid: Frequently Asked Questions: Personal Care/Assistance, Respite, and Companion Services, Medicaid:Virginia Medicaids Response to COVID-19New Emergency Flexibilities, Medicaid: Delivery of Group Based Services in Behavioral Health and Addiction (ARTS) during COVID-19 (7/1), Medicaid 1915(c) Waiver: Commonwealth Coordinated Care Plus, Family and Individual Supports, Community Living, and Building Independence, Medicaid 1915(c) Waiver:Commonwealth Coordinated Care Plus, Family and Individuals Supports, Community Living, and Building Independence, STATUS: Active, expires six months after the end of the public health emergency. This year's Symposium features five unique learning tracks, preview our concurrent sessions now. The FQHC section of CCHPs Policy Finder Tool is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,656,250 with zero percentage financed with non-governmental sources. An agency might be exempted because it was regulated by an acceptable national organization or because it provided only very basic services like homemaking and chores. In the event it is medically necessary for a Provider to be present at the originating site at the time a synchronous telehealth service is delivered, said Provider may bill an originating site fee (via procedure code Q3014) when the following conditions are met: Reference the DMAS Telehealth Manual Supplement for additional details on DMASs requirements for telemedicine. VA Dept. (Accessed Nov. 2022). (Accessed Nov. 2022). More information about coronavirus waivers and flexibilities is WebPrincess Anne Health & Rehabilitation Center has an exciting opportunity for a Unit Manager, RN in our 120bed skilled rehab center in Virginia Beach.. Certain audio-only codes are eligible for reimbursement in VA Medicaid. 32.1-325, (Accessed Nov. 2022). Medicaid Provider Manual, Durable Medical Equipment and Supplies Manual, Covered Svcs. (Accessed Nov. 2022). Physical therapy services; 3. Child Care Aware of America is a not-for-profit organization recognized as tax-exempt under the internal revenue code section 501(c)(3) and the organizations Federal Identification Number (EIN) is 94-3060756. VA Dept. Speech therapy services; 5. Virginia home health aides made an average hourly wage of $10.88 an hour in 2016, according to the Bureau of Labor Statistics. DMAS reimburses for telemedicine services under limited circumstances. DMAS also has clarified guidance on select Behavioral Health codes eligible for telemedicine delivery included in the Telehealth Supplement. Place of Service (POS), the two-digit code placed on claims used to indicate the setting where the service occurred, must reflect the location in which a telehealth service would have normally been provided, had interactions occurred in person. VA Board of Medicine. (Accessed Nov. 2022). (Accessed Nov.2022). of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services, (Oct. 2022) (Accessed Nov. 2022). info@cchpca.org They go through a competency evaluation process through Pearson VUE. Member of the Psychology Interjurisdictional Compact, Member of Occupational Therapy Interjurisdictional Licensure Compact. Includes: SOURCE:VA Code Annotated 54.1-3303, (Accessed Nov. 2022). Psychotherapy and SUD counseling may also be provided via telemedicine by a qualified provider who is a credentialed addiction treatment professional as defined in this memorandum and DMAS ARTS Provider Manual. Obtained or caused to be obtained a health and dental history of the patient; Performed or caused to be performed an appropriate examination of the patient, either physically, through use of instrumentation and diagnostic equipment through which digital scans, photographs, images, and dental records are able to be transmitted electronically, or through use of face-to-face interactive two-way real-time communications services or store-and-forward technologies; Provided information to the patient about the services to be performed; and. VA Dept. of Medical Assistant Svcs., Medicaid Provider Manual Local Education Agency, (Oct. 7, 2021). seq. The first is the consultant exemption found in 54.1-2901 which lists Exceptions and Exemptions Generally to licensure. It provides an opportunity for Virginia residents to benefit of Medical Assistant Svcs., Medicaid Provider Manual, Transportation Manual, Billing Instructions, (Oct. 2022). This includes monitoring of both patient physiologic and therapeutic data. (Accessed Nov. 2022). Billing codes covered by this policy, when conditions of coverage are met, and for services with dates of service on and after April 18, 2022, include the following: The term Provider refers to the billing provider either a qualified, licensed practitioner of the healing arts or a facility who is enrolled with DMAS. Medicaid Memo. Preferred OBATs services must have regular access to in-person/on-site visits and services shall not be delivered solely or predominantly through telemedicine. SOURCE: VA Dept. If a Provider, whether at the originating site or distant site, maintains a consent agreement that specifically mentions use of telehealth as an acceptable modality for delivery of services including the information noted above, this shall meet DMASs required documentation of patient consent. The indication, appropriateness, and safety considerations for each prescription provided via telemedicine services must be evaluated by the practitioner in accordance with applicable law and current standards of practice and consequently carries the same professional accountability as prescriptions delivered during an in-person encounter. SOURCE: 18VAC110-60-30(C). By law, the persons licensed as health care practitioners have a duty to report to the Virginia Department of Social Services or the local departments of social services any known or suspected incidences of abuse, neglect, or exploitation of children or elderly and incapacitated adults. (Homemakers are allowed limited tasks that involve touch, for example, fastening articles of clothing or stabilizing someone while they walk. See Table 6 for a list of Audio-Only Services. Category: Hospital Detail Health For more information, please visit HRSA.gov. Covered service components of Mobile Crisis Response include: At the start of services, a LMHP, LMHP-R, LMHP-RP or LMHP-S must conduct an assessment to determine the individuals appropriateness for the service. VA Medicaid recently moved the telehealth-specific content they had in their individual provider manuals into a telehealth supplement. Some titles, like CNA, denote particular types of training. Doc. Web15 HOURS REQUIRED For a minor in Systems Technology and Information Management, the following courses are required: course STIM 2311 - Enhancing Software User Interfaces STIM 3301 - Information Systems for Management STIM 3310 - Information Systems Analysis and Design (S-L) STIM 3320 - Web Page Design Prescriptions must comply with the requirements set out in Virginia Code 54.1-3408.01 and 54.1-3303(A). The highest reported wages were in Winchester ($12.17), followed by Charlottesville ($11.46). Service authorization requests must be submitted at least 30 days prior to the scheduled date of initiation of services. The section enumerates what does and what does not constitute telemedicine. SOURCE: VA Dept. P.O Box 981655 | West Sacramento, CA 95798 Please see Section 508.10, Prior Authorization for additional information. (Providers should not use POS 02 on telehealth claims, even though this POS is referred to as telehealth for other payers. The Interpretive Telehealth includes services delivered in the dental health setting (i.e., teledentistry), and telehealth policies for dentistry are covered in the dental manuals. (Accessed Nov. 2022). Telemedicine Guidance. of Medical Assistance Svcs., Medicaid Provider Manual, Home Health Manual, Covered Services and Limitations. Web$0 for covered home health care services. Book E - Compensation/Loans. Currently, the home health aide job classification represents a smaller portion of the direct care workforce than nursing assistant or personal care aide. (Accessed Nov. 2022). WebVirginia Department of Health Application for Home Care Organization Licensure 5 of 5 Virginia Department of Health Office of Licensure and Certification Application for Home Examples of originating sites include: medical care facility; Providers outpatient office; the members residence or school; or other community location (e.g., place of employment). Remote Patient Monitoring (RPM) involves the collection and transmission of personal health information from a beneficiary in one location to a provider in a different location for the purposes of monitoring and management. (Accessed Nov. 2022). A home care organization does not include any family members, WebVirginia Laws Related to Health Care - The Virginia Bar Health (3 days ago) WebVa. # 85-12. (Federal Travel Regulations are published in the Federal Register.) 54.1-2700 (Accessed Nov. 2022). The Board shall amend and maintain, in consultation with the Virginia Telehealth Network, as a component of the State Health Plan a Statewide Telehealth Plan to promote an integrated approach to the introduction and use of telehealth services and telemedicine services. 32.1-122.03:1 (C(1). The Consolidated Appropriations Act of 2023 extended many of SOURCE: VA Dept. Homemaker services. See Update for list of codes. Doc. The practitioner shall use his professional judgement to determine the manner and frequency of patient care and evaluation and may employ the use of telemedicine provided that the use of telemedicine includes the delivery of patient care through real-time interactive audio-visual technology. Community Stabilization Level of Care Guidelines. DMAS - Department of Medical Assistance Services Cardinal CareVirginia's Medicaid Program Department of Medical Assistance Services Menu Sitemap MES View the Title 38 Code of Federal Regulations documents. Medicaid Bulletin: Clarification of DMAS Requirements Related to the Use of Telemedicine in Providing MAT for OUD. 2022). # 85-12. Virginia has set the minimum number of training hours for CNAs well above the minimum 75-hour federal standard, but has not increased the standard for HHAs. Additions to the Telehealth Supplement include defining virtual check-in services, identifying covered codes, specifying reimbursement requirements, and outlining fee-for-service (FFS) billing details. SOURCE: VA Code Annotated Sec. VA Dept. 4.2.c. Telemedicine is a means of providing covered services through the use of two-way, real time interactive electronic communication between the student and the DMAS-qualified provider located at a site distant from the student. If approved, these facilities may serve as the Provider site and bill under the encounter rate. SOURCE: VA Department of Medical Assistance Services, Coverage of Virtual Check-In and Audio Only Services/Updates to Telehealth Services Supplement, April 1, 2022. A provision for the payment of medical assistance for medically necessary health care services provided through telemedicine services regardless of the originating site or whether the patient is accompanied by a health care provider at the time such services are provided. Service providers must include the modifier GT on claims for services delivered via telemedicine. Clarification of Existing Medicaid Coverage of Continuous Glucose Monitoring for Members in Medicaid/FAMIS/FAMIS MOMS Fee-for-Service Programs. This direct contact information ensures ease of access by pharmacists to clarify prescription orders, and further facilitates the prescriber-patient-pharmacist relationship. (Nov. 2016) (Accessed Nov. 2022). view of titles, agencies, chapters and sections The Virginia Register of Regulations home page Emergency Regulations currently in effect. 54.1-2937 (Temporary licenses to interns and residents in hospitals and Manuals that formerly included telehealth content now direct providers towards the telehealth supplement. Category: Hospital Detail Health Clarification of Existing Medicaid Coverage of Continuous Glucose Monitoring for Members in Medicaid/FAMIS/FAMIS MOMS Fee-for-Service Programs. All prescription drugs shall be prescribed and properly dispensed to clients according to the provisions of Chapters 33 ( 54.1-3300 et seq.) of Medical Assistant Svcs., Medicaid Provider Manual Supplement-Telehealth Services (Available in multiple manuals, including physician/practitioner, see overview for full list), (Oct. 2022) (Accessed Nov. 2022). SOURCE:VA Dept. The Medicaid member is in a physical location where telemedicine services can be received per requirements set forth in the Telehealth Supplement. Telehealth services may be included in a Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), or Indian Health Center (IHC) scope of practice, as approved by HRSA and the Commonwealth. WebHealth Care Policy Board, the regulations necessary to implement the provisions and purpose of Chapter 8 of the Act (35 P.S. WebDeanna S. Callahan brings energy and experience to the legal and regulatory aspect of healthcare delivery. Their unique responsibilities include:Helping patients bathe, get dressed, go to the bathroom, and eatMonitoring patients overall health during every visitChanging bandages, wound dressings, and cathetersSetting up exercise programs for patientsVerifying patients are taking the correct dosages of medicationsRemaining on-call for patients who have healthcare emergencies # 85-12. The Board believes that these communications do not constitute telemedicine, and therefore do not require licensure, when used in the follow-up care of a Virginia resident with whom a bona fide practitioner-patient relationship has been previously established. SOURCE: EMS Compact (Accessed Nov. 2022). General Services Administration : OMB Circular A-135 Guidance and Instructions on Managing FACs General Services Administration : FACA Final Rule General Services Administration : Unfunded Mandates Reform Act General Services Administration : Instructions for Implementing Section 204 of Title II of P.L. (Accessed Nov. 2022). Virginia Administrative Code. Doc. of Medical Assistant Svcs. A provision for payment of medical assistance services delivered to Medicaid-eligible students when such services qualify for reimbursement by the Virginia Medicaid program and may be provided by school divisions, regardless of whether the student receiving care has an individualized education program or whether the health care service is included in a students individualized education program. Medicaid Provider Manual, Local Education Agency Provider Manual, Covered Svcs. WebThe Division of Licensing Programs protects children and vulnerable adults in day and residential care settings. Examples of originating sites include: medical care facility; Providers outpatient office; the members residence or school; or other community location (e.g., place of employment). The Board, subject to the approval of the Governor, is authorized to prepare, amend from time to time, and submit to the U.S. Secretary of Health and Human Services a state plan for medical assistance services.

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