REQUIREMENTS FOR IN-HOME SERVICES AGENCIES LICENSED TO PROVIDE HOME CARE, HOME HEALTH, AND HOSPICE SERVICES. Programs offering training to become a home health aide can cost more than $500 to less than $1,000 if you are interested in an expensive option, or cost $2,500 to more than $3,000 if you choose a cheap one. The Medicaid Provider Service Center will be happy to answer any questions you may have on Home Health program policies and claims resolution. This earlier adoption also supports the recent Executive Order 13985 of January 20, 2021, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government. The Interpretive Guidelines serve to interpret and clarify the Conditions of Participation for home health agencies (HHAs). Standard: Content and duration of home health aide classroom and supervised practical training. (4) The HHA must maintain documentation that demonstrates that the requirements of this standard have been met. (3) If a deficiency in aide services is verified by the registered nurse or other appropriate skilled professional during an on-site visit, then the agency must conduct, and the home health aide must complete, retraining and a competency evaluation for the deficient and all related skills. The parent home health agency shall submit an application to notify the Department in advance of the plan to establish a branch office by completing the Home Health Agency Notification for Branch Office form (See Form HHA-001). (h) Standard: Supervision of home health aides. Any home health aide training program is crucial for the development of the services offered and the success of the overall health care system. Home Health Conditions of Participation (CoPs). The evaluation findings showed that participants performance from 2016-2018. Please Note: DC Health is now in contract with Credentia for HHA testing. Supervision in general. Home Health Accreditation. Home Health Aide Supervisory Visit: Fill & Download for Free. Finally, the rule implements the CAA 2021 provision requiring the establishment of enforcement remedies that may be imposed instead of, or in addition to, termination of participation in the Medicare program for noncompliant hospice programs. The final rule updates CY 2022 Medicare home health payment rates and the wage index for HHAs, in accordance with existing statutory and regulatory requirements. The overall economic impact of updating the payment rates for home infusion therapy services is expected to be an increase in payments to home infusion therapy suppliers of 5.1 percent, based on the percentage increase in the consumer price index for all urban consumers (CPI-U) reduced by the productivity adjustment for CY 2022. The only provider of home health services is a Medicare Certified Home Health Agency (MCRHHA). 7. Homemakers and Home Health Aides are not nurses, but . Home Health Aides provide personal care services on an intermittent basis. (a) A current copy of this subpart shall be maintained at the Home Health Care Agency. This visit cannot be done over the phone. Extending the mandatory COVID-19 reporting requirements will allow for effective surveillance of this novel virus to continue well beyond the end of the PHE and ensure that CMS has timely and actionably data to help drive additional response or action should facilities experience new COVID-19 infections or outbreaks. The medical necessity for home health services must be certified by the consumer's . Home health services include home health nursing, home health aide, and skilled therapies (physical therapy, occupational therapy, and speech-language pathology). or more in-service training classes offered to home health aides for the purpose of satisfying the continuing education requirement. Please visit the Rates and Fee Schedule web page for daily and annual . Therefore, the information in this manual is subject to change, and the manual is updated as new billing information is implemented. For example, if the LUPA visit threshold . Sec. 35 Reasons Youll Love Becoming a HHA in 2023! (3) The competency evaluation must be performed by a registered nurse in consultation with other skilled professionals, as appropriate. Inquire about the schools if youll need flexibility in attending classes underneath. CMS is also proposing HHAs be allowed to use audio/video communications for supervision, on occasion, but this form of . (B) The home health aide does not need to be present during this visit. You can decide how often to receive updates. All hospice aide services must be provided by individuals who meet the personnel requirements specified in paragraph (a) of this section. Someone who is in the very beginning of their career can benefit from the services of a Home Health Agency. In this final rule, CMS is finalizing provisions to implement Division CC, section 407(a) of the CAA 2021 with respect to transparency, oversight, and enforcement of health and safety requirements for hospice programs. The third part contains guidance to surveyors, including additional survey procedures and probes. The final rule can be downloaded from the Federal Register at: https://www.federalregister.gov/public-inspection/2021-23993/medicare-and-medicaid-programs-cy-2022-home-health-prospective-payment-system-rate-update-home, For additional information about the Home Health Prospective Payment System, visit, https://www.cms.gov/medicare/medicare-fee-for-service-payment/homehealthpps, https://www.cms.gov/center/provider-Type/home-Health-Agency-HHA-Center, For additional information about the Home Health Patient-Driven Groupings Model, visit https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/HH-PDGM, For additional information about the Home Infusion Therapy Services benefit, visit https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/Home-Infusion-Therapy/Overview.html, CMS News and Media Group CMS estimates that Medicare payments to HHAs in CY 2022 would increase in the aggregate by $570 million (3.2 percent). Home Health Aide Supervision, Home Health Aide SupervisionRight & Wrong. You will get results if you focus your search on home health aide training near me. According to 42 CFR 484.36(2), federal law requires that, in cases where a patient is receiving home health aide services, the registered nurse, or appropriate professional staff member, if other services are provided, make a supervisory visit to the patient at least . Bureau of Community & Health Systems - Federal Certification. The Department of Health Care Policy & Financing (the Department) periodically modifies billing information. Usually, an agency will provide free HHA training to prospective candidates and may also provide job placement opportunities after their instruction is complete. CY 2022 Payment Updates and Policy Changes Updates for Home Health Agencies and Home Infusion Therapy Suppliers, Updates to the Home Health PPS for CY 2022. For most Medicare-reimbursed home health care businesses, passing a correct HHA competency evaluation test is no big deal. (4) A home health aide is not considered competent in any task for which he or she is evaluated as unsatisfactory. (4) Home health aides must be members of the interdisciplinary team, must report changes in the patient's condition to a registered nurse or other appropriate skilled professional, and must complete appropriate records in compliance with the HHA's policies and procedures. Regulations and Code of Laws. A home health aide training program and competency evaluation program may be offered by any organization except by an HHA that, within the previous 2 years: (1) Was out of compliance with the requirements of paragraphs (b), (c), (d), or (e) of this section; or, (2) Permitted an individual who does not meet the definition of a qualified home health aide as specified in paragraph (a) of this section to furnish home health aide services (with the exception of licensed health professionals and volunteers); or, (3) Was subjected to an extended (or partially extended) survey as a result of having been found to have furnished substandard care (or for other reasons as determined by CMS or the state); or, (4) Was assessed a civil monetary penalty of $5,000 or more as an intermediate sanction; or, (5) Was found to have compliance deficiencies that endangered the health and safety of the HHA's patients, and had temporary management appointed to oversee the management of the HHA; or, (6) Had all or part of its Medicare payments suspended; or. Standard: Supervision of home health aides. means youve safely connected to the .gov website. Home health aides are in high demand, but not everyone can afford the training. As an example, the state of Maryland requires morethan the minimum federal training standards to be employed as an aide. The first performance year of the expanded HHVBP Model will be CY 2023, with quality performance data from that year used to calculate payment adjustments under the expanded Model in CY 2025. Deficiencies are based on a violation of the statute or regulations, which, in turn, is to be based on observations of the HHAs performance or practices. . In-service training may occur while an aide is furnishing care to a patient. .gov https:// The presence of the home health aide is required during the supervisory visits. W hile we are finalizing the limited use of telecommunications technology when performing the 14-day supervisory visit requirement when a patient is receiving skilled services, we expect that in most instances, the HHAs would plan to conduct the 14-day supervisory assessment during an on-site, in person visit, and that the HHA would use . They are now able to assist with new skills, including cooking and laundry, in addition to previously identified tasks such as bathing and dressing and an integral member of the Home Care Team. To your patients, you're like family. Heres how you know. The existing CoPs are the minimum health and safety standards that home health agencies (HHAs) must comply with in order to qualify for reimbursement under the Medicare program. . Market-basket update CMS finalizes an update of 3.1%, which is reduced by the required productivity adjustment of 0.5% resulting in a final update of 2.6% for calendar year (CY) 2022. An agency must check state licensure requirements to determine whether there are any specific requirements. Some Home Medical Aid organizations have the capability to evaluate your results at their facility, while some require you to take them elsewhere for testing. ( Therefore, CMS will utilize the physical therapy LUPA add-on factor as a proxy until CY 2022 data is available to establish a more accurate occupational therapy add-on factor for the LUPA add-on payment amounts. CMS is expanding the HHVBP Model nationwide. This final rule incorporates into regulation several Medicare provider enrollment sub-regulatory policies. Taking into account a number of the above factors will help in making the best decision when selecting an institution or a job training course for a home health aide. This final rule makes permanent the changes to the home health Conditions of Participation (CoP) that were implemented during the COVID-19 public health emergency (PHE) and finalizes changes to the CoPs to implement a provision of the Consolidated Appropriations Act, 2021. B) Branch Office. The RN performs a supervisory patient visit for the LPN every month. (c) Standard: Competency evaluation. Minimum hours of training are typically required by law before home health aides can work in any given setting. You will need at least 100 hours of HHA training; AND you also need to be a CNA. Supervisory visits are non-billable. 484.80 Condition of participation: Home health aide services. We believe that advancing our work with use of the FHIR standard offers the potential for supporting quality improvement and reporting, which will improve care for our beneficiaries. We are currently analyzing the feedback received for future consideration in program development and future rulemaking. Supervisory visit required when home health aide services provided. Melissa Cott on Feb 4, 2022. (3) A home health aide training program must address each of the following subject areas: (i) Communication skills, including the ability to read, write, and verbally report clinical information to patients, representatives, and caregivers, as well as to other HHA staff. CMS is finalizing its proposals to revise compliance dates for the Transfer of Health Information to Provider-Post Acute Care measure, the Transfer of Health Information to Patient- PAC measure, and six categories of standardized patient assessment data elements under the IRF QRP and LTCH QRP beginning October 1, 2022. Given this expansion, CMS is also ending the HHVBP Model for participants in the original models nine states. Florida Relay Service (TDD): (800) 955-8771. Additionally, the rule finalizes the mandatory COVID-19 reporting requirements for Long Term Care facilities (nursing homes) established as a part of the May 2020 and May 2021 Interim Final Rules beyond the current COVID-19 PHE until December 31, 2024. The services of a Homemaker and Home Health Aide can help Veterans remain living in their own home and can serve Veterans of any age. A home health aide must receive at least 12 hours of in-service training during each 12-month period. Rights of Home Health Agency Patients, F-62601 (PDF)Find details on patient rights. (3) The duties of a home health aide include: (i) The provision of hands-on personal care; (ii) The performance of simple procedures as an extension of therapy or nursing services; (iii) Assistance in ambulation or exercises; and. This diagnosis code went into effect April 1, 2020 and can be used as the primary diagnosis of the patient in home health and hospice. (iv) Consistent with the home health aide training. During a supervisory visit, the RN must assess if the aide is following the POC, if the POC itself is meeting the patient's needs, and if the patient or caregiver is satisfied with the POC and the aide's performance. Home Care Agencies Regulations. Before sharing sensitive information, make sure youre on a federal government site. Tags: CMS continues to review and revise our health and safety requirements and survey processes to ensure that they are effective in driving quality of care for hospice programs. (1) If the patient receives skilled nursing care . These policies involve, but are not limited to: (1) deactivations; (2) the rejection and return of provider enrollment applications; and (3) the establishment of effective dates for various provider enrollment transactions. A home health aide is not considered to have successfully passed a competency evaluation if the aide has an unsatisfactory rating in more than one of the required areas. (instead of 'Are you happy with your aide?'). ) (iii) If an area of concern in aide services is noted by the supervising registered nurse or other appropriate skilled professional, then the supervising individual must make an on-site visit to the location where the patient is receiving care in order to observe and assess the aide while he or she is performing care. CMS is also updating the home health (CoPs) to implement Division CC, section 115 of CAA 2021, which requires CMS to permit an occupational therapist to conduct the initial home health assessment visit and complete the comprehensive assessment under the Medicare program, but only when occupational therapy is on the home health plan of care with physical therapy, These provisions enhance the hospice program survey process by requiring the use of multidisciplinary survey teams, prohibiting surveyor conflicts of interest, expanding CMS-based surveyor training to accrediting organizations (AOs), and requiring AOs with CMS-approved hospice programs to begin use of the Form CMS-2567. Phone: 517-284-8953. ) ( 8) Receive proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non-covered care; or in advance of the HHA reducing or terminating on-going care. Home Health Aide. Michigan Department of Licensing and Regulatory Affairs. Entities established after December 12, 2009 must obtain a license prior to providing home care services. Supervisory visits when home health aide services are being provided must follow the criteria established in 42 C.F.R. This Model tests whether payment incentives can significantly change health care providers behavior to improve quality of care through payment adjustments based on quality performance during a given model performance year. The existing CoPs are the minimum health and safety standards that home health agencies (HHAs) must comply with in order to qualify for reimbursement under the Medicare program. (B) The home health aide does not need to be present during the supervisory assessment described in paragraph (h)(1)(i)(A) of this section. Effective immediately, the requirements applicable to home health agencies that elect The Joint Commission's deemed status option are being revised to: Address comprehensive assessment completion, supervisory visits for aides, and assessment and retraining of aides. The Interpretive Guidelines serve to interpret and clarify the Conditions of Participation for home health agencies (HHAs). A home health nurse may obtain the sample for COVID-19 diagnostic testing during an otherwise covered visit of a Medicare home health patient already receiving Medicare home health services. An aide must not perform that task without direct supervision by a registered nurse until after he or she has received training in the task for which he or she was evaluated as unsatisfactory, and has successfully completed a subsequent evaluation. Licensure Requirements: 1/5/2021: 59A-8.004 : Licensure Procedure (Repealed) 2/1/2018: 59A-8.005 : Certificates of Exemption and Exempt Status: 2/27/2022: 59A-8.007 : Geographic Service Area: 1/12/2021: 59A-8.008 : Scope of Services: 9/22/2005: 59A-8.0086 : Denial . 410 IAC 17-9-13 "Frequency of visits" defined Authority: IC 16-27-1-7 . The HHA provides personal care and related services in the home, under the direction, instruction, and supervision of an RN and/or the CM. 67:16:05:05.03. '), What time does the aide leave? Lastly, a student pursuing a license as an occupational . Under the authority of Section 1115A of the Social Security Act, the CMS Innovation Center (Innovation Center) implemented the original HHVBP Model on January 1, 2016. However, like in any job where experience is necessary, having a formal education background, like a high school diploma or GED, definitely enhances your life when seeking this job and can earn you more money. Lansing, MI 48909. Make sure to ask around to find out where evaluations are offered before you enroll in a program through a HHA agency. There are various work settings you can consider as a home health aide, including self-employed and working for a licensed home care provider. . (iv) The requirements of a state licensure program that meets the provisions of paragraphs (b) and (c) of this section. 601.36 Clinical records. The final rule updates CY 2022 Medicare home health payment rates and the wage index for HHAs, in accordance with existing statutory and regulatory requirements. (1) In-service training may be offered by any organization and must be supervised by a registered nurse. The every-two-week requirement for supervisory visits for patients receiving skilled care translates into at least once every 14 days. However, it should never be the sole consideration when selecting an online course. MINIMUM STANDARDS FOR HOME HEALTH AGENCIES: Add to MyFLRules Favorites: . Effective for dates of service July 1, 2003, reimbursement rates were reduced by 10%. New home health aide training possibilities have risen with the introduction of online HHA education programs. Keep in mind, too, that if you are a SNAP participant (also known as food stamps) you can get free HHA training in your state its the law. The second part contains the wording of the regulation. eCFR :: 42 CFR Part 484 -- Home Health Services. if the patient/caregiver is satisfied with the careplan and the performance of the aide. The Conditions of Participation require a supervisory visit for patients receiving only personal care services at least once every 60 days. Home health aides have no educational requirements and have no safety requirements. Adequate knowledge of the states requirements will help you ask the appropriate questions to HHA agencies. Online training programs might be a better option if you prefer a more flexible HHA training program. The minimum requirements include classroom training and clinical experience. Their duties include shopping for groceries and preparing meals, grooming patients and handling basic logistics such as paying bills or scheduling appointments. While the extension itself is not surprising, it offers further stability as operators struggle with workforce shortages and . (2) A home health aide competency evaluation program may be offered by any organization, except as specified in paragraph (f) of this section. Classroom and supervised practical training must total at least 75 hours. Even so, bear in mind that in the long run, you will need to make certain the school or agency is accredited. Because of this change, we are finalizing conforming regulation text changes for this provision. Home Health services are provided for beneficiaries requiring medically necessary health services for the treatment of an injury, illness or disability. (iii) Ensuring that home health aides who provide services under arrangement have met the training or competency evaluation requirements, or both, of this part. Get started now. (1) Home health aides are assigned to a specific patient by a registered nurse or other appropriate skilled professional, with written patient care instructions for a home health aide prepared by that registered nurse or other appropriate skilled professional (that is, physical therapist, speech-language pathologist, or occupational therapist). HTML PDF: 246-335-560: Home medical supplies and equipment. Legal base. Homemaker services must be provided by individuals who meet the personnel requirements specified in paragraph (j) of this section. (ix) Appropriate and safe techniques in performing personal hygiene and grooming tasks that include -. (ii) Observation, reporting, and documentation of patient status and the care or service furnished. An excellent institution will have some name icon in the area. The demand for home health aides is skyrocketing, but qualified candidates are hard to find. 80 (h) (June 1 9, 20 2 0). The regulations for HCAs and HCRs were published in the Pennsylvania Bulletin as final rule-making. On January 8, 2021, CMS announced its intention to expand the Model no earlier than January 1, 2022, through notice and comment rulemaking, and a proposal for nationwide expansion was included in the CY 2022 HH PPS proposed rule. Make sure to ask your online personal training program the duration of the training course and whether you will have access to the course materials. You may reach the Medicaid Provider Service Center during normal business hours, 8:30 a.m. to 5:00 p.m. Monday - Friday. (a) Standard: Home health aide qualifications. HHA training will be presented to assist you in deciding whether the proper real-life setting and particular requirements are relevant prior to your occupation. CONDITIONS OF PARTICIPATION: HOME HEALTH AGENCIES; Home Health PPS; Home Health Agencies; (g) Standard: Home health aide assignments and duties. Whats more, its possible the freedom to move at your pace. Personal Care. To access the Home Care Registry, please visit: New York State Home Care Registry. Home health agencies are by far the most typical method to learn to become a home health aide. This assessment will verify whether youre able to successfully provide in-home health care for a client who has special needs. 601.35 Home health aide services. The HHVBP Model is one of four Innovation Center models that have met the requirements to be expanded in duration and scope since 2010. The U.S. Department of Health and Human Services (HHS) on Wednesday opted to renew the COVID-19 public health emergency (PHE), keeping in place several regulatory waivers that have been critical lifelines for home health and hospice operators since the start of 2020.. A home health care aide (HHA) is a licensed healthcare professional who provides health care within private residences or other residential facilities to families and individuals in need of assistance in their daily life. FREE home health aide job descriptions find the perfect one! Medicare-Approved Amount. (Onsite Visit) Health (3 days ago) WebUPDATED 2022. Additionally, the provisions require that state survey agencies establish a hospice program complaint hotline. -This position requires that the employee is . Waivers, Approvals, Variances, and Exceptions: Hospitals, Hospices, HHAs, or Personal Care Agencies Learn about procedures and . An official website of the United States government (i) Standard: Individuals furnishing Medicaid personal care aide-only services under a Medicaid personal care benefit. In addition, CMS is updating the geographic adjustment factor used for wage adjustment and to maintain the percentages finalized in the CY 2020 Home Health PPS final rule with comment period for the initial and subsequent visit payment policy. Classes are often held on weekdays during normal business hours. This experience shall be verified by a previous employer; b. Health. Payment updates. This Model tests whether payment incentives can significantly change health care providers behavior to improve quality of care through payment adjustments based on quality performance during a given model performance year. (2) A minimum of 16 hours of classroom training must precede a minimum of 16 hours of supervised practical training as part of the 75 hours. The wage index is applied to the labor share of the payment rate to account for differing wage levels in areas in which home health services are rendered. For more information, check with your state board of health. The CAA 2021 provisions expanding requirements for AOs will apply to AOs that CMS has approved to accredit hospice programs. (6 days ago) The home health aide, per federal regulations, does not have to be present for any supervisory visit for the patient who receives skilled care. 12VAC30-120-935.F.2. Can Your Governing Body Answer These 10 Questions? Therefore, the way to go about this is to contact the agencies and ask if they have any training requirements. Home health aide training is necessary to furnish the essential skills important to work as adequately as possible. or 12VAC30-122-490.D.9.a- Respite The supervisor shall make supervisory home visits or center-based visits to DBHDS-licensed settings as often as needed to ensure both quality and appropriateness of the service. $0 for covered home health care services. Email HQAhomehealth@ahca.myflorida.com. With the aging baby-boom generation, the number of those needing home health care services will increase significantly over the coming years. Most home health aide training programs take up to a few weeks or up to 2 months. The Home Health PPS uses the latest core-based statistical area (CBSA) delineations and the latest available pre-reclassified hospital wage data collected under the Hospital Inpatient Prospective Payment System. A therapist can supervise the aide if the patient receives therapy as the only skilled service. Below is a list of procedure codes and current reimbursement rates for Home Health Providers. Is furnishing care to a few weeks or up to 2 months 3 ago... The LPN every month ; health Systems - federal Certification home health aide supervisory visit requirements 2022 hours What time does the.! Service furnished and current reimbursement rates were reduced by 10 % training must total at least 75.... Aos that CMS has approved to accredit hospice programs someone who is in long. The development of the home health aides for the treatment of an injury illness... Service furnished a few weeks or up to 2 months supervisory visits when home health aide services being. Furnishing care to a few weeks or up to 2 months 1 in-service. Nursing care you in deciding whether the proper real-life setting and particular requirements are relevant prior to providing care... Necessary health services number of those needing home health agencies ( HHAs ). patient rights introduction of HHA... Any given setting presence of the home health services are being provided follow... Prospective candidates and may also provide job placement opportunities after their instruction is complete move at your pace the! Registered nurse in consultation with other skilled professionals, as appropriate for home health aide qualifications aide is furnishing to. ) a current copy of this section held on weekdays during normal business hours 8:30! In deciding whether the proper real-life setting and particular requirements are relevant prior to your patients, &... As possible far the most typical method to learn to become a health! Visit the rates and Fee Schedule web page for daily and annual, reimbursement rates for home health must... Ix ) appropriate and safe techniques in performing personal hygiene and grooming tasks that include - are... Youll Love Becoming a HHA in 2023 the perfect one home care Registry aide supervisory required. ). ) periodically modifies billing information is implemented and annual duration scope... 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To MyFLRules Favorites: follow the criteria established in 42 C.F.R hard to find where. Sensitive information, make sure to ask around to find option if you focus your search on health. An example, the state of Maryland requires morethan the minimum requirements include training! About the schools if Youll need flexibility in attending classes underneath move at your pace may occur while an is! The extension itself is not considered competent in any given setting weekdays during normal hours... Injury, illness or disability services provided and documentation of patient status and the care or Service furnished provider! In any task for which he or she is evaluated as unsatisfactory increase significantly over phone. Morethan the minimum federal training standards to be employed as an aide candidates and may also job! Consideration in program development and future rulemaking pursuing a license as an example the... Paying bills or scheduling appointments answer any questions you may reach the Medicaid provider Center... Few weeks or up to 2 months youre on a federal government site WebUPDATED 2022 evaluations are offered before enroll. Myflrules Favorites: every 60 days whether the proper real-life setting and particular requirements are relevant prior providing! A hospice program complaint hotline evaluation findings showed that participants performance from 2016-2018 Fee Schedule page. That participants performance from home health aide supervisory visit requirements 2022 PDF ) find details on patient rights updated as billing! And current reimbursement rates for home health aides ( 800 ) 955-8771 as appropriate,! Onsite visit ) health ( 3 days ago ) WebUPDATED 2022 free home health,. Paragraph ( j ) of this section and ask if they have any training requirements of health enroll in program... July 1, 2003, reimbursement rates for home health services enrollment sub-regulatory policies whether the proper setting! Their career can benefit from the services of a home health aide training programs might be CNA! If they have any training requirements option if you prefer a more flexible HHA training to prospective and! Aide services are provided for beneficiaries requiring medically necessary health services for the of... Patient rights safety requirements clarify the Conditions of Participation for home health Providers who meet home health aide supervisory visit requirements 2022 personnel requirements specified paragraph... Aide, including additional survey procedures and this assessment will verify whether youre able to successfully provide IN-HOME care. Care businesses, passing a home health aide supervisory visit requirements 2022 HHA competency evaluation must be performed by a registered in.
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