Ineligible PCAs Sample Clauses

Ineligible PCAs. If the STATE provides the MCO notice that an individual is ineligible to participate as a PCA in the Minnesota Health Care Programs, the MCO will ensure that funds received by the MCO from the STATE are not used to pay the individual for PCA services. (4) Qualified Professional supervision of PCA Services as described in Minnesota Statute, § 256B.0659, subds. 13 and 14. Effective January 1, 2010, all personal care assistants must be supervised by a Qualified Professional. The Qualified Professional is responsible for assisting the Enrollee in developing a care plan for use of the PCA time authorized and will assure how those hours are used throughout the month. The Qualified Professional must make a supervisory visit within 14 days of the start of PCA services for an Enrollee and must make visits at least every 90 days for the first year and every 120 days thereafter. If the enrollee is using the PCA Choice Option, Qualified Professional supervision must be every one hundred and eighty (180) days. (5) Private Duty Nursing Services, up to the limits established in Minnesota Statutes, § 256B.0654, subd. 2, 2a and 2b. The MCO shall also use the criteria established in Minnesota Statutes, § 256B.0654, subd. 4 to determine whether or not to grant a hardship waiver for these services to an Enrollee’s parent, spouse or legal guardian, or family ▇▇▇▇▇▇ care parent of a minor. (6) Therapy Services, including physical therapy, occupational therapy, speech therapy and respiratory therapy, up to the limits established in Minnesota Statutes, § 256B.0653 and Minnesota Rules, Part 9505.0390. (7) Medical Equipment and Supplies, pursuant to section 6.1.19. (B) For Enrollees who are ventilator-dependent, the limits described in Minnesota Statutes, § 256B.0651, subd. 6(c) must be applied. (C) If the MCO requires Service Authorization for Home Care Services, it shall comply with section 6.24 of this Contract.