of the person providing the service (eSignature is allowed); and the documentation must indicate how staffing ratios authorized in the ISP have been met; and licensed and approved program capacity is not exceeded. In addition: There is a process to request approval in an emergency situation to provide respite beyond program capacity. Confirmation of ODP approval for these situations must be maintained. Day Habilitation Code Service Unit Required Information for Claim Record Other Required Documentation Billing Home and Documentation must include 15 start and end Progress Notes Community time(s); signature of person minutes providing the service In accordance with 55 PA Code, Chapter Habilitation (eSignature is allowed); and degree/license and 51.16, a monthly progress note is used to W7060 Unlicensed Basic; title for enhanced service levels only. determine W7061 Levels 1, 2, 3, and 4; 1:1 staffing ratios require time sheets with start Whether the service is being provided W7068 PDS; U4 ; and and end times for the 1:1 staff. as specified in the ISP; Enhanced Support. Whether the service is meeting the The provider must retain staff time sheets participant’s assessed needs and (including eSignatures or electronic time sheets) preferences; that demonstrate the staffing ratio specified in the Whether there is progress toward ISP ISP. specified outcomes and actions; and When there is an identified lack of A service note must be included for each progress, how the lack of progress will continuous span of 15 minute to describe be addressed. service activities. Notes must be maintained for
of the person providing the service (eSignature is allowed); and the documentation must indicate how staffing ratios authorized in the ISP have been met; and licensed and approved program capacity is not exceeded. In addition: There is a process to request approval in an emergency situation to provide respite beyond program capacity. Confirmation of ODP approval for these situations must be maintained. Day Habilitation Code Service Unit Required Information for Claim Record Billing Other Required Documentation W7060 W7061 W7068 Home and Community Habilitation Unlicensed Basic; Levels 1, 2, 3, and 4; PDS; U4 ; and Enhanced Support. 15 minutes Documentation must include start and end time(s); signature of person providing the service (eSignature is allowed); and degree/license and title for enhanced service levels only. 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 the staffing ratio specified in the ISP. A service note must be included for each continuous span of 15 minute to describe service activities. Notes must be maintained for Progress Notes In accordance with 55 PA Code, Chapter 51.16, a monthly progress note is used to determine Whether the service is being 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.
Technical+Guidelines+3-27-17.docx