Pcs: Provider Qualifications And Duties

01. Direct Care Workers. All providers must be an RN, an LPN, or meet personal assistant standards. All staff must receive training for service quality. The Department may require a CNA for personal assistance when a participant's medical condition warrants. (7-1-26) 02. Training for Participants with DD. When services provided in a participant's home require more than physical assistance, providers must complete a Department-approved DD training course or have experience providing direct services to people with DD unless the provider qualifies as a QIDP. The Department may temporarily approve staff meeting all qualifications except for the required training course or experience, when the Department verifies: (7-1-26) a. No other qualified providers are available; (7-1-26) b. The direct care worker is enrolled in the next available training course with a graduation date no more than six (6) months from the request for temporary provider status; and (7-1-26) c. A supervising QIDP provides monthly oversight visits until the direct care worker graduates from the training program. (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 555 Page 130 03. Children’s PCS Delivered in a Provider’s Home. Providers must be licensed or certified as a child foster care or PCS FACH. (7-1-26) 04. Health Screen. Direct Care staff must complete a health questionnaire, kept in their personnel files. If they have a medical issue, a statement from a medical provider must verify they are able to perform all required duties. Misrepresentation of information is cause for termination of employment and disqualifies an employee from providing Medicaid services. (7-1-26) 05. Personal Assistance Agency (PAA) and Fiscal Intermediaries. (7-1-26) a. Recruit, hire, fire, train, supervise, schedule, process payroll, and ensure all direct care staff are qualified to provide quality services; (7-1-26) b. Maintain liability insurance coverage; (7-1-26) c. Ensure staffing of an RN or, when applicable, a QIDP supervisor to develop and complete service plans and provide supervision of service delivery; (7-1-26) d. Assign qualified staff to participants honoring their choices; and (7-1-26) e. Conduct annual participant satisfaction or quality control reviews available to the Department and the public. (7-1-26)