SPC 710 – Independent Nursing Sample Clauses

SPC 710 – Independent Nursing. This service is a service provided by a Registered Nurse for the observation or care of a member for the maintenance of health or prevention of illness that requires substantial skill, knowledge or training based on biological, physical, and social sciences. S9123 – Independent/Private Duty Nursing-RN, per hour S9124 – Independent/Private Duty Nursing; LPN, per hour T1001 – Nursing assessment/evaluation; each visit T1502 – Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit
Sample 1
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SPC 710 – Independent Nursing. This service is a service provided by a Registered Nurse for the observation or care of a member for the maintenance of health or prevention of illness that requires substantial skill, knowledge or training based on biological, physical and social sciences. • S9123 – Independent/Private Duty Nursing-RN, per hour • S9124 – Independent/Private Duty Nursing; LPN, per hour • T1001 – Nursing assessment/evaluation; each visit • T1502 – Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 3.2 SDS Services for Independent Nursing: • S9123 U5 – SDS Skilled Nursing Services - Independent/Private – RN 3.3 Members must be given the opportunity to direct some or all of their Independent Nursing whenever possible to the extent of their ability and desire. Inclusa teams must determine the member’s ability and/or desire to direct services by assessment and by observation and address this in the member’s plan. 3.4 Prior to authorizing payment to family members, the following conditions must be met: 1) The service is authorized by the Inclusa team; 2) The member’s preference is for the family member to provide the service; 3) The Inclusa team monitors and manages any conflict of interest situation that may occur as a result of the family member providing services; 4) The family member meets the MCO’s standards for its subcontractors or employees providing the same service; and 5) The family member will either: • Provide an amount of service that exceeds normal family care giving responsibilities for a person in a similar family relationship who does not have a disability; or • Find it necessary to forego paid employment in order to provide the service and is not receiving a pension (including Social Security retirement benefits).
Sample 1

Related to SPC 710 – Independent Nursing

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