Utah Admin. Code R432-700-23 - Plan of Care

(1) For each client, the licensee shall:

(a) establish a plan of care for any care, services, or treatment provided by the licensee or any contractor:

(b) describe the plan of care in the client's record; and

(c) document the activities of the licensee or contractor to implement the plan of care in the client's record.

(2) The plan of care shall be developed and signed by a licensed health care professional in consultation with other agency staff or contract personnel.

(3) Modifications or additions to the initial plan of care shall be made by a licensed health care professional as necessary.

(4) Each plan of care shall be reviewed and approved by the licensed health care professional as the client's condition warrants, at intervals not to exceed 60 days in accordance with the Code of Federal Regulations, Title 42, Part 60, Section c, 2023 edition.

(5) Each written plan of care for skilled services shall be approved by a primary care provider at intervals not to exceed 60 days in accordance with the Code of Federal Regulations, Title 42, Part 60, Section c, 2023 edition.

(6) The person who is assigned to supervise and coordinate care for a client shall have the primary responsibility to notify the attending primary care provider and other staff of any significant changes in the client's status. Any notifications shall be made part of the client's record.

(7) The plan of care, developed in accordance with the referring primary care provider's orders, shall include:

(a) name of the client;

(b) diagnoses;

(c) treatment goals stated in measurable terms;

(d) services to be provided, at what intervals, and by whom;

(e) needed medical equipment and supplies;

(f) medications to be administered by designated, licensed personnel;

(g) supervision of self-administered medication;

(h) diet or nutritional requirements;

(i) necessary safety measures;

(j) instructions to client and family; and

(k) date the plan was initiated and dates of subsequent review.

Notes

Utah Admin. Code R432-700-23

Amended by Utah State Bulletin Number 2022-05, effective 2/14/2022 Amended by Utah State Bulletin Number 2023-14, effective 7/6/2023