North Carolina Home Health Agency Policy Manual

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The North Carolina Home Health Agency Policy Manual provides a comprehensive operational framework for agencies delivering skilled home health services to individuals with acute, chronic, or rehabilitative medical needs across the State of North Carolina. This manual aligns with the regulations established by the North Carolina Department of Health and Human Services (NCDHHS), including the Division of Health Service Regulation (DHSR), and complies with federal Medicare Conditions of Participation (42 CFR Part 484), North Carolina Medicaid program requirements, and applicable licensure laws under state statute. The manual includes policies and procedures governing agency licensure and certification, patient eligibility and referral, clinical assessments and care planning, delivery of skilled nursing care, physical, occupational, and speech therapies, home health aide services, medication management, wound care, chronic disease monitoring, infection prevention and control, interdisciplinary collaboration, staff licensure and continuing education, patient rights and protections, emergency preparedness, documentation and billing procedures, incident reporting, and quality assurance. It emphasizes the delivery of evidence-based, person-centered care in the home environment, supporting recovery, independence, and the prevention of avoidable hospitalizations or institutional placements. This manual serves as a foundational resource for home health providers in North Carolina, ensuring the delivery of high-quality, compliant, and compassionate services that promote long-term health and community living.