School-Based Personal Care Services 2019 Information
Learn about school-based personal care services in 2019, including billing procedures, provider requirements, and services offered for physical and behavioral health needs of students. Explore documentation rules, employee roles, and service details.
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Cha p ter 5 38 Sc ho o l - Ba sed Hea l th Servi c es Personal Care Services 2019
August 1, 2 0 19 Personal Care is billable in 15- minute units Maximum of 28 units per instructional day. Units must be documented with start and stop times. Extra minutes can be carried over to the next instructional day with a month. A new billing form is required per student per day. 2
Dem o gra p hi c s Medicaid Number Last Name First Name County School Procedure Code 00012345678 Johnson Kelley Clay Clay High School T1019 SE WVEIS # Diagnosis Code(s) Date of Birth Date of Service Provider Name (Printed) 999123456 F72 05/31/2003 09/06/2019 Joseph Riley 3
Student Dem o gra p hi c Sec ti o n On the top row, enter the information as requested. County and school as the code numbers. On the second row enter data as requested. Print the name of the employee providing the personal care services. If two employees split the tasks with one student, each employee would complete a separate billing form for the services they provided. A global diagnosis is acceptable. 4
W ho c a n b e a P erso na l Ca re P ro vi der Aide I Aide II Aide III Aide IV Paraprofessional Autism Mentor Early Childhood Classroom Assistant teacher (ECCAT) 1 Early Childhood Classroom Assistant teacher (ECCAT) II Early Childhood Classroom Assistant teacher (ECCAT) III Braille Specialist Sign Support Specialist Educational Sign Language Interpreter I Educational Sign Language Interpreter II Licensed Practical Nurse (LPN) ** Parents are NOT to be counted as personal care aides. 5
W ha t i s P erso na l Ca re Services are related to a child s physical and behavioral health requirements, including assistance with: Grooming Bathing Toileting Dressing Laundry (employee) Brushing Teeth Hand Washing Repositioning/Transfer Walking Adaptive Medical equipment Assistance with Medication Range of motion (Per Physician Orders) 6
W ha t i s P erso na l Ca re Co nti nued. Vitals (Per Physician Orders) Catheterization Communication Meal preparation Feeding Special Dietary Needs Housecleaning Laundry/Ironing Student Making/Changing bed Dishwashing Supervision/Non-educational Redirection Positive behavioral Support 7
P erso na l Ca re Ta sks o n the Bi l l i ng F o rm 1. Grooming 6. Brushing Teeth 11. Assistance with Medication 16. Meal Preparation 21. Making/Changing Bed 2. Bathing 7. Hand Washing 12. Range of Motion Per Physician Orders 13. Vitals Per Physician Orders 17. Feeding 22. Dishwashing 3. Toileting 8. Repositioning/Transfer 18. Special Dietary Needs 23. Supervision/Non-Educational 4. Dressing 9. Walking 14. Catheterization 19. Housecleaning 24. Redirection 5. Laundry (Employee) 10. Adaptive Medical Equipment 15. Communication 20. Laundry/Ironing Student 25. Positive Behavior Support 8
Do c um enti ng the ta sks o n the Bi l l i ng F o rm List Number of Activity Start Time End Time List Number of Activity Start Time End Time List Number of Activity Start Time End Time 1 9:00 9:20 17 12:00 12:30 3 10:00 10:15 3 1:00 1:15 7 10:15 10:20 4 1:15 1:40 6 10:20 10:45 TOTAL MINUTES PER COLUMN 65 TOTAL MINUTES PER COLUMN 70 TOTAL MINUTES PER COLUMN 9
F i na l U ni t Co unt a nd Si gna ture Carryover Minutes from Previous Instructional Day 0 TOTAL MINUTES: 135 TOTAL UNITS: 9 Carryover for next instructional day: 0 No carryover if maximum units reached for the day. PROVIDER SIGNATURE/CREDENTIAL: JosephRiley Paraprofessional DATE: 9/6/2019 10
Co nta c t I nf o rm a ti o n Kelley Johnson Coordinator Office of Special Education kelley.johnson@k12.wv.us 304-558-2696 ext 53539 WVDE Medicaid Website: https://wvde.us/special- education/Medicaid/ 11
