Pdn: Provider Qualifications And Duties

01. PDN Redetermination. The primary RN is responsible for submitting a current service plan to the Department at least annually or as a child's needs change. Failure to submit an updated service plan prior to the end date of the most recent authorization will cause payments to cease until completed information is received and evaluated and authorization given for further PDN. (7-1-26) 02. Physician Responsibility. Determine if the combination of PDN along with other community resources are sufficient to ensure the child’s health or safety. If these resources do not ensure the child’s health and safety, notify the family and the Department to facilitate the child’s admission to an appropriate facility. (7-1-26) 03. RN Responsibilities. RN supervisors or a provider of PDN must: (7-1-26) a. Notify the physician immediately of any significant changes in a child's medical condition or response to PDN; (7-1-26) b. Notify the Department within forty-eight (48) hours or on the first business day following a weekend or holiday of any significant changes in a child's condition or a child is hospitalized at any time; (7-1-26) c. Evaluate changes of condition; (7-1-26) d. Provide PDN under the PDN service plan; and (7-1-26) e. Ensure copies of records are maintained in the child's home including: (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 470 Page 100 i. Service delivery date and start and end times; (7-1-26) ii Comments on the child's response to PDN; (7-1-26) iii. Nursing assessment of child's status and any changes in status each shift; (7-1-26) iv. Services provided during each shift; and (7-1-26) v. Current signed Service Plan. (7-1-26) 04. Oversight of LPNs. RN Supervisory visits occur at least once every thirty (30) days for PDN provided by an LPN. (7-1-26) 465. – 469. (RESERVED) SUB AREA: NURSING FACILITIES (NF) (Sections 470-499)