23 MAC Pt. 208, R. 2.8
Documentation/Record Maintenance
Cite as 23 Miss. Admin. Code Pt. 208, R. 2.8
Documentation/Record Maintenance
A. Documentation/record maintenance for reimbursement purposes must, at a minimum, reflect
requirements set forth in the Independent Living (IL) Waiver. [Refer to Miss. Admin. Code
Part 200, Rule 1.3.]
B. All staff records should include, at a minimum, the following required credentialing and
qualification documents:
1. Copy of valid, state issued ID;
2. Job descriptions or DCW Certification;
3. Application and date of hire;
4. High School Diploma, General Educational Development (GED) diploma, other
educational degrees, or proof of ability to read and write accurately;
5. Any licensure and/or certifications as required for job description;
6. Results of fingerprint-based National Criminal Background check(s);
7. Results of monthly Nurse Aide Abuse Registry checks;
8. Results of monthly Office of Inspector General (OIG) checks;
9. Attestation of health at hire;
10. Signed confidentiality agreement that includes social media waiver; and
11. Proof of training/evaluations required professional certifications, and credentials
including CPR and First Aid.
C. Records for beneficiaries receiving personal care services should include, at minimum:
1. Referral form/authorization;
2. Approved Plan of Services and Supports (PSS);
3. Service Notes documenting monthly and quarterly case management oversight of the
DCW which includes the causes of any significant variation in the recommended
schedule of services provision; and
4. Daily
activity
or
Service
Notes
capturing
tasks
completed
and
the
beneficiary/representative’s signature verifying the provision of services, if task and
global positioning system (GPS) information is not captured electronically in the state
approved electronic visit verification system.
D. Activity or time sheets, if needed, must include:
1. Arrival/service time and date;
2. Departure/service time and date;
3. Activities/tasks performed; and
4. The signature of the beneficiary or their legal representative verifying the provision of
services.