OPRA has met with DODD about this issue and has been given the direction that Lisa describes below. The services are distinct, so can be billed at the same time. Direct service staff do not need to clock out and then back in as the nurse is not providing H/PC. I will double check with DODD one more time and let everyone know if there are any additional pieces of information.

Anita Allen

-----Original Message-----
From: list-manager@opra.simplelists.com [mailto:list-manager@opra.simplelists.com] On Behalf Of Lisa Reed
Sent: Thursday, September 19, 2013 8:05 PM
To: opra_members@opra.simplelists.com
Cc: opra_members@opra.simplelists.com
Subject: Re: State Plan Services

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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