Louisiana Skilled Nursing Services Policy Manual

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The Louisiana Skilled Nursing Services Policy Manual provides a comprehensive operational framework for agencies delivering medically necessary, in-home skilled nursing care to individuals with complex health conditions, disabilities, or post-acute needs. It ensures compliance with the Louisiana Administrative Code (LAC) Title 48, Part I, Chapter 91, which governs home health agency operations, and aligns with the Louisiana Medicaid Services Manual and policies issued by the Louisiana Department of Health (LDH). The manual also supports adherence to standards under applicable Home and Community-Based Services (HCBS) waivers administered by the Office for Citizens with Developmental Disabilities (OCDD) and Office of Aging and Adult Services (OAAS), such as the Residential Options Waiver (ROW) and Community Choices Waiver. It includes policies and procedures for nursing assessments, care planning, clinical documentation, medication administration, infection control, patient rights, emergency preparedness, and quality assurance. By following this manual, providers can ensure safe, high-quality skilled nursing care while maintaining full compliance with Louisiana’s regulatory framework for home-based healthcare services.