23 Miss. Code. R. 223-5.5 - Discontinuation of Personal Care Services (PCS)

Personal care services (PCS) will be discontinued when one (1) or more of the following is met:

A. When all of the following exist:

1. Beneficiary's condition is clinically stable,

2. The Certified Nursing Assistant (CNA) skills are not required to provide assistance with activities of daily living,

3. Beneficiary demonstrates the ability to carry out self-management,

4. Caregiver(s) demonstrates the ability to carry out management of the beneficiary's condition, and

5. When the transition is complete.

B. The beneficiary's care and needs can be met through custodial care.

C. When home-based care is unsafe and:

1. The PCS provider immediately reports the unsafe environment or imminent danger to the beneficiary, caregiver or provider to the Division of Medicaid, the beneficiary's physician and all appropriate authorities including, but not limited to:

a) Local law enforcement,

b) The Mississippi Department of Child Protection Services, and/or

c) Other appropriate authorities designated in state or federal law.

2. The PCS provider has assisted the beneficiary in transitioning to a safe environment to the extent possible without endangering the beneficiary, caregiver or service provider.

3. The PCS provider has made every effort to transition the beneficiary to a safer environment.

Notes

23 Miss. Code. R. 223-5.5

42 C.F.R. § 440.167; Miss. Code Ann. §§ 43-13-117, 43-13-121.

Adopted 4/1/2020 Amended 6/1/2020 Amended 7/1/2020