Virginia Regulatory Town Hall View Comments

Department of Medical Assistance Services

Board of Medical Assistance Services

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6/4/21 11:59 am

Commenter: Matthew Osborne

Re: DSP/Supervisor Competency Checklist

Additionally...

Competency 3.1 states, "Conveys a basic understanding of the health information for the people they support". Then, the "Implemented Skills (tracking)" column lists, "basic understand, developing, and competent". Is there a need for "developing" or "competent" if the competency only requires a "basic understanding"? Not sure how this is measured. Also, what does "convey" mean? What does this look like?

It appears that competencies 3.6 - 3.13 are missing from the Town Hall General Notice? Providers are unable to effective commentary on an incomplete General Notice. For example, earlier comments referred to a need to include competencies for abuse, neglect, and exploitation. It appears that this is covered in the "missing" competency 3.12.

Why not add language from the Waiver Regulations regarding when a DSP is found "deficient" and the time frame that a provider needs to "begin remediation" (i.e., with 7 calendar days)? I think adding this information to the Checklist would be helpful (i.e., providers know what the expectations are for how to "remediate" deficiencies.

"9. If at any time after the initial 180 days, a DSP or DSP supervisor is found to be deficient in any competency area, the following actions must be taken to permit the continuation of billing by the agency related to the areas of the person's identified deficiencies. "Deficient" is defined as an established pattern of inability to demonstrate one or more competency skills.

a. Upon discovery of a staff person's inability to demonstrate proficiency, the provider has seven calendar days to begin remediation of the identified skills and document the issue and the actions taken by the agency to confirm proficiency.

b. If proficiency is not reconfirmed within seven days following discovery of a second episode occurring within three months of the staff person's inability to demonstrate proficiency, the skills being remediated shall only be performed under direct supervision, observation, and guidance of qualified staff who document the provision of these supports in the person's record."

CommentID: 98951