Washington DC Skilled Nursing Agency Policy Manual
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The Washington D.C. Skilled Nursing Services Policy Manual provides a comprehensive operational framework for licensed nursing agencies and individual practitioners delivering skilled nursing services to eligible individuals in their homes or other community settings across the District of Columbia. This manual aligns with the regulations established by the D.C. Department of Health (DOH), particularly the Health Regulation and Licensing Administration for nursing licensure and practice standards, and the D.C. Department of Health Care Finance (DHCF), which oversees Medicaid (DC Healthy Families and other programs, including Home and Community-Based Services waivers).
The manual includes policies and procedures governing client eligibility and medical necessity criteria, scope of skilled nursing services (e.g., medication management, wound care, injections, catheter care, health monitoring, patient and caregiver education), comprehensive nursing assessments, individualized care plan development and revision, delegation of tasks, emergency protocols, infection control, documentation standards, billing and reimbursement guidelines, participant rights and responsibilities, and quality assurance. It emphasizes the delivery of professional, medically necessary nursing care that promotes health recovery, manages chronic conditions, prevents complications, and supports individuals in maintaining their health and independence in their preferred living environment. This manual serves as a foundational resource for skilled nursing service providers in Washington D.C., ensuring the delivery of high-quality, compliant, and ethical care that meets the complex health needs of the community.