Ariz. Admin. Code § R9-10-1207 - Care Plan

A. An administrator shall ensure that a care plan is developed for each patient:

1. Based on an assessment of the patient as required in R9-10-1210(D)(1) or (F)(2)(e)(i);

2. With participation from:

a. The patient's physician, registered nurse practitioner, or podiatrist, as applicable; and

b. A registered nurse;

3. That includes:

a. The patient's diagnosis;

b. Surgery dates relevant to home health services, if applicable;

c. The patient's cognitive awareness of self, location, and time;

d. Functional abilities and limitations;

e. Goals for functional rehabilitation, if applicable;

f. The type, duration, and frequency of each service to be provided;

g. Treatments the patient is receiving from a source other than the home health agency;

h. Medications and herbal supplements reported by the patient or the patient's representative as being used by the patient, and the dose, route of administration, and schedule for administration of each medication or herbal supplement;

i. Any known drug allergies;

j. Nutritional requirements and preferences;

k. Specific measures to improve the patient's safety and protect the patient against injury; and

l. A discharge plan for the patient including, if applicable, a plan for assessing the accomplishment of treatment or therapy goals for the patient; and

4. That is established and implemented within five days of start of care.

B. An administrator shall ensure that:

1. Home health services are provided to a patient by the home health agency according to the patient's care plan;

2. The patient's care plan is reviewed and updated:

a. Whenever there is a change in the patient's condition that indicates a need for a change in the type, duration, or frequency of the services being provided;

b. If the patient's physician, registered nurse practitioner, or podiatrist, as applicable, orders a change in the care plan; and

c. At least every 60 calendar days;

3. The patient's care plan is reviewed and documented by a registered nurse, an occupational therapist, an occupational therapist assistant, a physical therapist, or a physical therapist assistant, with the patient or the patient's representative at least every 30 calendar days;

3.4. The patient's physician, physician assistant, registered nurse practitioner, or podiatrist, as applicable, authenticates the care plan with a signature within 30 calendar days after the care plan is initially developed and whenever the care plan is updated; and

5. A home health agency documents and responds to a referral from a health care provider within 48 hours of receiving the referral.

Notes

Ariz. Admin. Code § R9-10-1207

Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Amended by final rulemaking at 31 A.A.R. 651, effective 4/6/2025.