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STATE
OF NEVADA SERVICE
SPECIFICATIONS DURABLE
MEDICAL EQUIPMENT AND HEALTH CARE PRODUCTS Any
exception to these Service Specifications must be requested in advance in
writing and approved by the Administrator. SERVICE
DEFINITION: This
service provides eligible seniors with access to durable medical equipment,
emergency prescriptions, diabetic supplies and liquid nutritional products. SERVICE
CATEGORIES AND UNIT MEASURES: Durable
Medical Equipment and Health Care Products:
A service for older individuals that: One unit equals one adaptive device or one health
care product. (An individual may receive several devices and/or
products. Each is counted as one unit of service). SPECIFICATIONS: 1.
Required Services: 1.1
When other resources such as public or private medical insurance are not
available, clients will be loaned or given medical equipment such as
wheelchairs, walkers and shower benches. The grantee may contract with a
pharmacy and pay for emergency prescriptions, doctor ordered diabetic supplies
such as test strips and insulin, and nutritional products. 1.2
Equipment shall be clean and in good repair. 1.3
Supplies and nutritional products shall be distributed and used before
the expiration date, if applicable. 2.
Eligibility 2.1
Eligibility is determined by the client’s household income, lack of
insurance and/or inability to pay insurance co-payments. 3.
Service Prohibitions: 3.1
Staff shall not accept tips, gifts, fees or loans from clients. 3.2
Staff must refer suspected elder abuse to the appropriate agency within
24 hours. 4.
Documentation Requirements: 4.1
Maintain individual client records which document: 4.1.a
Summary of the client's problem or need; 4.1.b
A chronological summary of actions taken to assist the client, including
information, referral and/or product (s) provided; 4.1.c
When appropriate, conduct follow-up
to determine how the program assisted seniors to avoid acute health care
situations, emergency room visits or long-term care. 5.
Operating Procedures: 5.1
Establish a procedure to accept requests for assistance in-person or by
phone. 5.2
Establish a procedure to accept referrals from physicians. 5.3
Establish a written action plan to process client requests. 5.4
Establish a written medical equipment loan procedure. 5.5
Establish a written procedure to pay for medical products purchased
through pharmacies. 5.6
A waiting list is to be established only after all measures for improving
the efficiency of the service delivery system have been examined and, when
feasible, implemented. Grantees are required to establish a waiting list policy
that will be activated in the event that demand for service exceeds the
program's capacity. Waiting list documentation must include at a minimum: 5.6.a
Client’s name, address, and telephone number; 5.6.b
Date the client was placed on the waiting list; and 5.6.c
Description of each client’s need for service. 5.6.d
Clients with the greatest needs are to receive priority consideration.
The program will define “greatest need.”
The program must establish a procedure for updating the continued service
needs of clients placed on the waiting list. 6.
Quality Improvement: 6.1
The program shall establish an annual method to determine consumer
satisfaction with service through questionnaires or some other means. The
results of the quality improvement review must document any program deficiencies
and contain a plan of correction. 7.
Special Compliance Requirements: 7.1
The agency must have sufficient liability coverage for the equipment loan
program. 8.
Program Reporting Requirements: 8.1 The grantee must submit Quarterly Program and Financial Reports (DAS-200 and DAS-200F) as prescribed in the DAS-200 reporting instructions. The reports are due the 15th of the month following the end of each quarter. |
Questions or Comments for the Division for Aging? Last Updated: 09/18/08 Disclaimer Search Regional Offices/Contact |