W1724 Companion Services Basic 15 Documentation must include start and end time(s) Progress Notes W1725 Staff Support; Levels 1, 2, minutes and signature of the person providing the service In accordance with 55 PA Code W1726 and 3; PDS; U4 PDS (eSignature is allowed). 51.16, a monthly progress note W1727 should focuses on the health, 1:1 staffing ratios require time sheets with start and safety, and supervision needs of end times for the 1:1 staff. the participant to determine Whether the service is The provider must retain staff time sheets (including provided as specified in the eSignatures or electronic time sheets) that ISP; demonstrate that staffing ratio specified in the ISP. Whether the service is meeting the participant’s W1727 is the only companion service code available assessed needs and in PDS. preferences; Whether there is progress A service note must be included for each continuous toward ISP specified span of 15 minute units to describe service activities. outcomes and actions; and The requirement can be achieved by using a checklist When there is an identified to indicate the assistance, supports and/or guidance lack of progress, how the lack provided to the participant, which may include of progress will be addressed. Supervision participants during hours for non-habilitative activities when necessary to Documentation is required for ensure the participants safety; substantive issues that impact the Supervision during asleep hours in which participant’s: or non-habilitative care is needed to Health; protect the safety of the participant with Safety; intellectual disabilities; Preferences; Supervision and assistance during awake hours Priorities; and with daily living activities, including grooming, Routine. health care, household care, meal preparation and planning, and socialization; and Documentation needed upon For agency providers only, transportation occurrence as required by Pa. services necessary to enable the participant to code, including, for example but participate in the Companion Service. not limited to reportable events.
W1724 W1725 W1726 W1727 Companion Services Basic Staff Support; Levels 1, 2, and 3; PDS; U4 PDS 15 minutes Documentation must include start and end time(s) and signature of the person providing the service (eSignature is allowed). 1:1 staffing ratios require time sheets with start and end times for the 1:1 staff. The provider must retain staff time sheets (including eSignatures or electronic time sheets) that demonstrate that staffing ratio specified in the ISP. W1727 is the only companion service code available in PDS. A service note must be included for each continuous span of 15 minute units to describe service activities. The requirement can be achieved by using a checklist to indicate the assistance, supports and/or guidance provided to the participant, which may include Supervision participants during hours for non-habilitative activities when necessary to ensure the participants safety; Supervision during asleep hours in which or non-habilitative care is needed to protect the safety of the participant with intellectual disabilities; Supervision and assistance during awake hours with daily living activities, including grooming, health care, household care, meal preparation and planning, and socialization; and For agency providers only, transportation services necessary to enable the participant to participate in the Companion Service. Progress Notes In accordance with 55 PA Code 51.16, a monthly progress note should focuses on the health, safety, and supervision needs of the participant to determine Whether the service is provided as specified in the ISP; Whether the service is meeting the participant’s assessed needs and preferences; Whether there is progress toward ISP specified outcomes and actions; and When there is an identified lack of progress, how the lack of progress will be addressed. Documentation is required for substantive issues that impact the participant’s: Health; Safety; Preferences; Priorities; and Routine. Documentation needed upon occurrence as required by Pa. code, including, for example but not limited to reportable events.