Ohio Form Jfs 02390 – Fill Out and Use This PDF

Ohio Department of Job and Family Services

HOME CARE ATTENDANT (HCA) SKILLED TASK AUTHORIZATION

SKILLED TASKS TRAINING LIST

INSTRUCTIONS FOR TRAINER

Enter the medically necessary skilled task(s) the Home Care Attendant has successfully completed training to perform. Draw a single line through any unused boxes.

INSTRUCTIONS FOR AUTHORIZED HEALTH CARE PROFESSIONAL (AHP)

Place initials in the box for each approved task(s).

SKILLED TASKS APPROVAL

DIRECTIONS

Each team member shown below must complete the section that applies to her/his role. The HCA is not approved to perform the listed task(s) until though AHP has initialed the “Training Detail” page.

CONSUMER/AUTHORIZED REPRESENTATIVE

I, the undersigned have received the necessary training and am electing to select, instruct and direct the Home Care Attendant (HCA) to perform the task(s) set forth on this form. I will ensure that the HCA performs the task(s) consistent with her/his training and in accordance with OAC Rule 5101:3-46-04.1, as appropriate. I understand that this authorization may be revoked at any time by my authorizing health care professional. I am responsible for reporting any changes in my health or circumstances to the Case Management Agency (CMA) Case Manager, Trainer (if other than consumer, HCA, and Authorized Health Care Professional.

HOME CARE ATTENDANT

I, the undersigned have received training in task(s) set forth on this form, and will perform the task(s) in accordance with OAC Rule 5101:3-46-94.1 or 5101:3-50-04.1, as appropriate, and as trained by the consumer, authorized representative and/or trainer. I understand that I am approved to perform on the listed task(s) for this consumer and that ODJFS may revoke that approval at any time if deemed necessary. I understand I am responsible for reporting any changes in my ability to perform the task(s) to the Consumer, CMA Case Manager, Trainer, and Authorized Health Care Professional.

TRAINER (Please read before signing and dating)

I, the undersigned, verify that I have successfully trained the Home Care Attendant to perform the task(s) set forth on this form.

AUTHORIZING HEALTH CARE PROFESSIONAL AND TRAINER (Please read before signing and dating)

I, the undersigned, approve the consumer’s decision to select, instruct and direct the Home Care Attendant in the performance of the task(s) set forth on this form. I understand that I may revoke approval at any time, if deemed necessary, by notifying the Consumer/Authorized Representative, CMA Case Manager, and Trainer.

In the event that no physician is aware of or supports the consumer’s decision to use the Home Care Attendant option, the Registered Nurse who is serving as the Authorized Healthcare Professional must be made aware of the physician’s exclusion or non-support.

Customer/Authorized Representative (Initials)

Authorized Healthcare Professional (Initials)

SKILLED TASK TRAINING DETAIL

DIRECTIONS

Trainer – Enter the name of the medically necessary skilled task required by the consumer. Enter the date the Home Care Attendant (HCA) completed training to successfully perform the skilled task. Write a detailed description of how HCA will perform the task, including times or intervals.

(If the consumer/authorized representative is the trainer, the consumer/authorized representative will complete this section.)

Check here if CONTINUED on next page

AUTHORIZED HEALTHCARE PROFESSIONAL

My initials indicate approval of this task to be performed by the Home Care Attendant and that the Home Care Attendant has demonstrated the ability to perform the task.

(INITIAL HERE)