Section 388-106-1045. Can I receive PDN services in a licensed adult family home (AFH)?  


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  • You may be eligible to receive PDN services if you are residing in an adult family home (AFH) if the AFH provider (owner and operator):
    (1) Possesses a current Washington state registered nurse license and is in good standing;
    (2) Signs a contract amendment with ADSA by which the provider agrees to ensure provision of twenty-four-hour personal care and nursing care services. Nursing care services must be provided in accordance with chapter 18.79 RCW;
    (3) Provides your PDN service through an RN or an LPN under the supervision of an RN. The level of PDN services provided to you is based on the CARE assessment, the department-designated PDN skilled task log or its approved equivalent, and other documentation that determines eligibility and the number of PDN hours to be authorized;
    (4) Provides the PDN services to you. Your service plan may authorize you to receive four to eight hours per day and cannot exceed eight PDN care hours per day;
    (5) Has a nursing service plan prescribed for you by your primary care provider. The primary care provider must:
    (a) Oversee your care plan, which must be updated at least once every six months; and
    (b) Monitor your client's medical stability.
    (6) Document the services provided in the care plan, including the submission of the PDN seven-day look back skilled nursing task log by the licensed nursing to the CN or NCC for review for initial eligibility and ongoing eligibility every six months; and
    (7) Maintain records in compliance with AFH licensing and contract requirements.
    [Statutory Authority: RCW 74.08.090, 74.09.520. WSR 11-05-079, § 388-106-1045, filed 2/15/11, effective 3/18/11. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 440.80. WSR 05-24-091, § 388-106-1045, filed 12/6/05, effective 1/6/06.]
RCW 74.08.090, 74.09.520. WSR 11-05-079, § 388-106-1045, filed 2/15/11, effective 3/18/11. Statutory Authority: RCW 74.08.090, 74.09.520 and 42 C.F.R. 440.80. WSR 05-24-091, § 388-106-1045, filed 12/6/05, effective 1/6/06.