North Carolina Administrative Code

10A NCAC 05J .0203 DISCLOSURE PURSUANT TO OTHER LAWS Whenever federal or state statutes or regulations specifically address confidentiality issues, the agency shall disclose or keep confidential client information in accordance with those federal or state statutes or regulations.…

10A NCAC 05J .0204 OWNERSHIP OF RECORDS All client information contained in any records of the agency is the property of the agency. Employees of the agency shall protect and preserve such information from dissemination except as indicated by the policies established. History Not…

10A NCAC 05J .0205 SECURITY OF RECORDS (a) The agency shall provide a secure place with controlled access for the storage of client records or reports, or both, which contain client specific information. (b) Only employees, students, volunteers or other individuals who must acces…

10A NCAC 05J .0206 RELEASE OF CLIENT INFORMATION (a) No client identifying information, except as referenced in Rule .0205 of this Section, which is maintained by the Division of Aging, Area Agency on Aging or service provider shall be released to other individuals or community s…

10A NCAC 05J .0207 INFORMED CONSENT Prior to obtaining a consent for release of information, the delegated representative shall explain the meaning of informed consent. The client shall be told the following: (1) Contents to be released; (2) That there is a definite need for the …

10A NCAC 05J .0208 CLIENT ACCESS TO RECORDS (a) Access to information about himself is the right of the client. Upon written or verbal request, the client shall have access to review or obtain without charge a copy of the information in his records with the following exceptions: …

10A NCAC 05J .0209 CONTESTED INFORMATION (a) A client may contest the accuracy, completeness or relevancy of the information in his record. (b) A correction of the contested information, but not the deletion of the original information if it is required to support receipt of stat…

10A NCAC 05J .0210 WITHHOLDING OF INFORMATION FROM THE CLIENT (a) When the Director or delegated representative determines on the basis of the exceptions outlined in Rule .0208 of this Section to withhold information from the client record, this reason shall be documented in the …

10A NCAC 05J .0211 DISCLOSURE OF CLIENT INFORMATION WITHOUT CLIENT CONSENT Client information included in the client record may be disclosed without the consent of the client under the following circumstances: (1) To other employees of the agency for the purpose of making referra…

10A NCAC 05J .0212 INFORMATION NEEDS OF SERVICE PROVIDERS (a) Client information may be disseminated to service providers in accordance with the release of information statement included on the client registration form. (b) Any further disclosure will require a signed release of …

Subchapter 05K – reserve for future codification section .0100 - reserve for future codification 10a ncac 05K .0101 reserve for future codification

SUBCHAPTER 05L - ADVOCACY ASSISTANCE SECTION .0100 – GENERAL PROVISIONS 10A NCAC 05L .0101 GENERAL ADVOCACY RESPONSIBILITIES As a part of state agency general advocacy responsibilities the Division of Aging will: (1) review and comment on all state plans, budgets and policies whi…

10A NCAC 05L .0102 LONG-TERM CARE OMBUDSMAN PROGRAM The Division shall provide a long-term care ombudsman program subject to the following: (1) If the regional ombudsman receives a complaint directly and plans to utilize any community advisory committee members for complaint reso…

10A NCAC 05L .0103 LEGAL SERVICES PROGRAM The Division of Aging shall encourage and assist the development of legal services designed to provide legal advice and representation for older North Carolinians. The purpose of awards under this program is to increase the availability o…

SUBCHAPTER 05M – SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM SECTION .0100 – GENERAL PROVISIONS 10A NCAC 05M .0101 POLICIES MANUAL Detailed policies and procedures for administering a Title V project under a subgrant from the Division of Aging are provided in a special Title V ma…

10A NCAC 05M .0102 APPLICATION PROCEDURES (a) The Division of Aging shall allocate a certain number of job slots to each PSA annually based on the total number of slots available to the State, an assessment of need, and an assessment of employment resources for the aging currentl…

CHAPTER 06 – AGING: PROGRAM OPERATIONS SUBCHAPTER 06A – AGING: IN-HOME AIDE SERVICES FOR OLDER ADULTS SECTION .0100 - SCOPE OF SERVICE 10A NCAC 06A .0101 SCOPE OF IN-HOME AIDE SERVICES As used in this Subchapter, the following definition of In-Home Aide Services shall apply: (1) …

10A NCAC 06A .0102 DEFINITIONS As used in this Subchapter, the following terms shall have the meanings specified: (1) "Activities of Daily Living (ADL)" include eating, dressing, bathing, toileting, bowel and bladder control, transfers, ambulation and communication such as speaki…

10A NCAC 06A .0103 DESCRIPTION OF IN-HOME AIDE SERVICE LEVELS As used in this Subchapter, the following descriptions of In-Home Aide Service levels shall apply for older adults: (1) Level I - Home Management. In-Home Aide Services at this level are intended to provide support to …

10A NCAC 06A .0104 TARGET POPULATION The target population consists of individuals who are unable to carry out tasks essential to the activities of daily living or the instrumental activities of daily living, or both, who have no responsible person available to perform these task…

SECTION .0200 - CLIENT ELIGIBILITY 10A NCAC 06A .0201 ELIGIBILITY FOR IN-HOME AIDE SERVICES (a) Persons eligible for services must be 60 years of age or older, live at home, and have home management or personal care needs, or both. (b) Persons served must be in need of the servic…

SECTION .0300 - SERVICE PROVISION 10A NCAC 06A .0301 SERVICE DELIVERY In-Home Aide Services must be provided in accordance with the standards established in Rules .0304, .0305, .0306, .0307, and .0310 of this Section for task levels, competency requirements, supervision, and qual…

10A NCAC 06A .0302 ASSESSMENT AND REASSESSMENT OF CLIENT (a) The purpose of the initial assessment and regular reassessments is to determine each client's level of functioning and determine or confirm the need for In-Home Aide Services. (b) The initial assessment and reassessment…

10A NCAC 06A .0303 IN-HOME AIDE SERVICE PLAN (a) Each client must have an In-Home Aide Service Plan which is based on the initial assessment and regular reassessments. (b) The In-Home Aide Service Plan must include: (1) measureable client outcome goals; (2) In-Home Aide Service l…

10A NCAC 06A .0304 COMPETENCY REQUIREMENTS (a) Aides who provide In-Home Aide Services must meet the competency requirements for the level of service they are regularly required to perform. In addition, an aide performing any tasks in Level III Personal Care must meet the compete…

10A NCAC 06A .0305 IN-HOME AIDE TASKS AND REQUIRED COMPETENCIES (a) Tasks to be performed and required competencies for In-Home Aides performing Level I - Home Management are as follows: Tasks Required Competencies Home Management · Pay bills as directed by client Communication S…

10A NCAC 06A .0306 TIME FRAMES FOR COMPLETING COMPETENCY REQUIREMENTS The following time frames for completing competency requirements for each level of In-Home Aide Services shall apply: (1) Level I. Competency requirements consist of demonstration of knowledge and skills indica…

10A NCAC 06A .0307 AIDE SUPERVISION (a) It is the responsibility of the agency providing the In-Home Aide Service to assure that supervision is given to all aides. (b) Regardless of the level of tasks performed, supervisory home visits must be made at least twice during the first…

10A NCAC 06A .0308 SELECTION OF AIDES Agencies providing in-home aide services must have a written policy regarding who may serve as in-home aids. The written policy shall include, at a minimum, the following information about who may serve as in-home aides: (1) aides shall be 18…

10A NCAC 06A .0309 CLIENT RECORDS Records must be kept for each In-Home Aide Services client and must include: (1) documentation of request or authorization for services; (2) a copy of the completed initial assessment; (3) copies of all completed reassessments; (4) copies of the …

10A NCAC 06A .0310 QUALITY ASSURANCE REQUIREMENTS (a) All agencies providing In-Home Aide Services must be either licensed by the Department of Health and Human Services as a home care agency, or be certified or accredited through one of the following accreditation organizations,…

SUBCHAPTER 06B - INSTITUTIONAL RESPITE CARE SERVICE SECTION .0100 - SCOPE OF INSTITUTIONAL RESPITE CARE 10A NCAC 06B .0101 SCOPE OF INSTITUTIONAL RESPITE CARE SERVICE Primary Service. Institutional Respite Care Service is temporary placement of an individual who requires constant…

SECTION .0200 - SERVICE PROVISION 10A NCAC 06B .0201 SCREENING OF CLIENT (a) Screening is a preliminary process used to determine if client eligibility is met. (b) A screening instrument must be completed for each unpaid primary caregiver who requests service. (c) The screening i…

10A NCAC 06B .0202 HOME VISIT (a) A home visit shall be made to verify information obtained during the screening process. (b) The screening instrument must be signed and dated by the person conducting the home visit and filed in the client record. History Note: Authority G.S. 143…

10A NCAC 06B .0203 SERVICE PLANS (a) A service plan shall be maintained by the service provider agency for each person requiring constant care or supervision, or both. (b) The service plan shall indicate the tasks to be provided in the absence of the caregiver. (c) The service pl…

10A NCAC 06B .0204 DOCUMENTATION/RECORDS FOR PERSON REQuiring CONSTANT CARE OR SUPerVisioN (a) Records shall include a completed copy of the screening instrument, documentation of home visit, and service plan. (b) An emergency contact person must be identified and maintained in t…

SUBCHAPTER 06C – INFORMATION AND ASSISTANCE SECTION .0100 - SCOPE OF INFORMATION AND ASSISTANCE 10A NCAC 06C .0101 DEFINITIONS AND SCOPE OF INFORMATION AND ASSISTANCE (a) SCOPE. Information and Assistance is identified as a critical service which assists older adults, their famil…

10A NCAC 06C .0102 SERVICE PROVISION Any agency offering Information and Assistance shall have the capacity and capability to provide all of the following functions: (1) Assess/Evaluate: Determine the immediate problem or concern of the individual; probe for other problems or con…

section .0200 – service provision 10A ncac 06C .0201 ELIGIBILITY FOR INFORMATION AND ASSISTANCE Those eligible for Information and Assistance Services are persons 60 years of age and older or persons acting on behalf of persons age 60 and older and, who are in need of information…

10A ncac 06C .0202 RESOURCE FILE (a) The agency providing Information and Assistance shall develop, maintain, and use an accurate, up-to-date resource file that contains information on available community resources. The Information and Assistance provider shall update the resourc…

10A ncac 06C .0203 staff competence The agency providing Information and Assistance shall make orientation and training available to paid and volunteer staff. (1) Staff shall participate in an orientation program which, at a minimum, reviews the role, purpose, and function of Inf…

10A NCAC 06C .0204 DOCUMENTATION (a) Each agency providing Information and Assistance shall maintain a daily log or tracking system indicating contacts made during the course of the day. (b) For those persons who receive Information, as defined in 10A NCAC 06C .0101, the log shal…

SUBCHAPTER 06D - CARE MANAGEMENT SECTION .0100 - SCOPE OF SERVICE 10A NCAC 06D .0101 SCOPE OF CARE MANAGEMENT Primary Service. Care Management is a coordinated care function which incorporates case finding, assessment and reassessments, negotiation, care plan development and impl…

10A NCAC 06D .0102 DEFINITIONS As used in this Subchapter, the following terms shall have the meanings specified: (1) "Activities of daily living (ADL's)" include eating, dressing, bathing, toileting, bowel and bladder control, transfers, ambulation, and communication such as abi…

10A NCAC 06D .0103 TARGET POPULATION The target population consists of functionally impaired older adults who are at risk of abuse, neglect, exploitation, or have complex care needs, or both; and who, due to a critical time factor or the complexity of services needed, are unable …

SECTION .0200 - SERVICE PROVISION 10A NCAC 06D .0201 CLIENT ELIGIBILITY Care Management Services are limited to older adults 60 years of age or older and their spouses who meet the identified target population. History Note: Authority G.S. 143B-181.1(c); 143B-181.10; Eff. Novembe…

10A NCAC 06D .0202 SCREENING (a) Screening is a preliminary process used to determine if an individual appears to belong in the target population. (b) A screening instrument must be completed for each person requesting Care Management Services. History Note: Authority G.S. 143B-1…

10A NCAC 06D .0203 ASSESSMENT AND REASSESSMENT (a) The assessment and reassessment are comprehensive multidimensional methods used to determine the client's level of functioning and confirm eligibility for Care Management Services. (b) The initial assessment and all reassessments…

10A NCAC 06D .0204 CARE PLANNING The purpose of the care plan is to identify the course of action to be followed: (1) Care plans for an eligible client shall be developed within 12 working days of the initial screening. (2) The care plan shall include, at a minimum, the following…

10A NCAC 06D .0205 MONITORING The purpose of monitoring is to guarantee continuity of services and to evaluate the client's continued eligibility for Care Management Services: (1) At a minimum, a monthly contact must be made to the client. (2) At least one contact per quarter mus…