RULE 116 INTERPRETIVE GUIDANCE
Per waiver, authorized direct support professionals (ADSPs) must be at least 18 years old, have completed high school or GED, demonstrate functional literacy, and have successfully completed 8 hours of classroom training on medication administration.
During the course of our Rule 116 reviews, surveyors come across ADSPs who do not have the requisite documentation to demonstrate a full 8 hours of classroom training. Historically, the ADSP was deauthorized until the medication class was retaken, regardless of the amount of how much classroom training was missing. We are updating our policy. The ADSP will be deauthorized until the medication class is retaken only if the deficit in documentation is more than 2 hours.
If the deficit in documentation is 2 hours or less, the ADSP will be required to complete 2 hours of classroom training to ensure the Waiver requirement is met. This must be done within 14 calendar days or the ADSP will be deauthorized until the requirement is completed. For example, if the ADSP has documentation for 7 hours of classroom training, the ADSP must meet with the Registered Nurse (RN) Trainer and complete 2 hours of additional classroom training on medication administration topics.
Another option for remediation will be to complete the entire classroom instruction within two weeks. An attestation by the RN trainer is required to be provided, including topics covered and date and time of training remediation, or the completion of the entire training class. It is up to the RN Trainer to determine what topics would be most useful to the ADSP for remediation. The ADSP will not be deauthorized if the attestation of completion of training is received by the Bureau of Clinical Services within 14 calendar days of the review's exit conference. An information bulletin on this topic will be forthcoming.
The above shared in DDD Communication on 12/06/2024.
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