California Home Health Services Skilled Medicare
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The California Home Health Services Skilled Medical Care Policy Manual provides a comprehensive framework for the delivery of skilled nursing and therapeutic services to individuals with complex medical needs in home and community-based settings throughout the state of California. This manual aligns with regulatory requirements established by the California Department of Public Health (CDPH), the California Department of Health Care Services (DHCS), and the Centers for Medicare & Medicaid Services (CMS), including the Medicare Conditions of Participation (42 CFR Part 484) and applicable Medicaid Home and Community-Based Services (HCBS) Waiver programs. The manual outlines detailed policies and procedures related to service eligibility, clinical assessments, individualized care planning, skilled medical services such as wound care, medication management, disease management, monitoring of vital signs, physical therapy, speech therapy, and other therapeutic services. It also includes staff qualifications and training requirements, documentation and reporting standards, infection control protocols, client rights and confidentiality, emergency preparedness, and quality assurance practices. Skilled medical care services are provided to support patients in managing their medical conditions, maintaining independence, and preventing unnecessary hospitalizations or institutional care. As both an operational and compliance guide, the California Home Health Services Skilled Medical Care Policy Manual ensures that providers deliver safe, effective, and person-centered care that meets all applicable state and federal regulations, while promoting the health, safety, and well-being of individuals receiving skilled medical care in home settings.