I was recently involved with this exact scenario in the county you are referring to Jan. The SSA Director and I conferenced with the Department and was told that if the ISP clearly defines what home health is doing and what waiver staff are doing and it is clearly 2 different types if service then the 2 hour rule does not apply. HH can perform nursing and waiver staff can resume H/PC without interruption in service.

We are practicing this in several sites without issue.

Sent from Lisa's iPhone

> On Sep 19, 2013, at 7:17 PM, Linda Wasserman <lwasserm@jfsa-cleveland.org> wrote:
>
> I disagree, you may not use the State Plan for an aide in a site that has 24/7 staffing. There is a rule in the State Plan that prohibits you from billing two types of Medicaid with out a two hour break in billing between each service. If the consumers in your group home receives nursing delegation they may not receive nursing service from the State Plan. I have a copy of the rules, please feel free to email me at lwasserm@jfsa-cleveland.org and I will be happy to send you a copy.
> -----Original Message-----
> From: list-manager@opra.simplelists.com [mailto:list-manager@opra.simplelists.com] On Behalf Of Open Arms
> Sent: Thursday, September 19, 2013 3:43 PM
> To: opra_members@opra.simplelists.com
> Cc: opra_members@opra.simplelists.com
> Subject: Re: State Plan Services
>
> To help answer your question yes you can use State Nursing to help with daily care from a aide or a nurse for medication administration. It does not effect the waiver.
>
> Open Arms Inc.
> Disable the Label W,Open Arms Inc.
> Melissa Stoll
> 360 S.Reynolds rd.
> Toledo Ohio,43615
> 419-843-3759 Office
> 419-917-6185 Cell
> 567-455-6431 Fax
>
>
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> --- gueres@hyperspaceit.com wrote:
>
> From: Janice Hall <gueres@hyperspaceit.com>
> To: OPRA  Members <opra_members@opra.simplelists.com>
> Subject: State Plan Services
> Date: Thu, 19 Sep 2013 14:44:32 -0400
>
> Hello,
> I had a question from an area County Board that I could not answer and
> was hoping someone could.  Have you, or can you, use State Plan services
> in a licensed waiver setting where you have 24/7 coverage?
>
> Thank you in advance for your replies.
>
> --
> Janice K. Hall, Executive Director
> Guernsey Residential, Inc.
> 627 Steubenville Avenue
> Cambridge, OH 43725
> Phone: (740) 439-4271
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