(Revised 10/01/2024 ML #3781)
Some individual needs require additional training and expertise for a qualified service provider to assist the individual with their individual specific needs. The specific needs are grouped into two categories and may require the QSP to get additional education. The case manager must ensure that the authorized QSP has the correct global endorsements or have been trained in the “Client Specific Needs” and this is listed on their QSP status in order for the QSP to be able to perform the task.
The Global Endorsements are:
Maintenance Exercise
Catheter Care
Medical Gases-Limited to oxygen
Suppository-non-prescription
Cognitive/Supervision (REQUIRED for RESPITE CARE, SUPERVISION & COMPANIONSHIP SERVICES) (Not available through DD as there is a specific service for this need)
Taking Blood Pressure, Pulse, Temperature, Respiration Rate
Ted Stockings (surgical stockings)
Prosthesis/Orthotics/Adaptive Devices
Hoyer Lift/Mechanized Bath Chair
The following Client Specific Endorsements (J-N) require verification of the provider’s ability to provide the service for a particular client who requires the endorsement. Note: Send the completed Request for Client Specific Endorsement, SFN 830 to Medical/HCBS Services only if the client’s case manager has authorized service for that endorsement.
Ostomy Care
Postural Bronchial Drainage
Jobst stockings (compression stockings)
Rik/Specialty Bed Care
Apnea Monitoring (is available only to a provider meeting the standards for Respite Care)
19. Individual specific needs/other services/global endorsements
Apnea monitor*
Cognitive/supervision*
Community integration
Exercises*
Eye care
Fingernail care (may not be authorized if individual has diabetes, heart or other circulatory conditions)
Hair care/shaving
Hoyer lift*
Indwelling bladder catheter*
Jobst stockings
Ostomy care
Oxygen/medical gases*
Postural/bronchial drainage
Prosthesis/orthotics*
Skin care
Social appropriateness
Specialty bed (Ric)*
Suppository/Bowel Program*
Ted socks*
Teeth, mouth, denture care
Vital signs**
Care Coordination
Emergency Response System
Nurse Education
Extended Personal Care
Extended Personal Care – Nurse
Chore per Job
Chore Labor
Chore Labor (lawn)
Chore Labor (snow removal)
The tasks with an asterisk require additional information and documentation on file. The additional information is as follows:
A written, signed recommendation for the task of Vital Signs provided by a nurse or higher credentialed medical provider must be on file which outlines the requirements for monitoring, the reason vital signs should be monitored, and the frequency.
When the tasks of Temp/Pulse/Respiration/Blood Pressure are authorized, the individual to be contacted for readings must be listed on the PreAuth in Therap.
For the task/activity of exercise, a written recommendation and outlined plan by a therapist for exercise must be on file and is limited to maintaining or improving physical functioning or communication that was lost or decreased due to an injury or a chronic disabling condition (i.e., multiple sclerosis, Parkinson’s, stroke etc.). Exercise does not include physical activity that generally should be an aspect of a wellness program for any individual (i.e., walking for weight control, general wellness, etc.).
“Client Specific Endorsements” These activities and tasks may be provided by a service provider who has demonstrated competency and carries a client specific endorsement to provide the required care within the identified limitations. The case manager must maintain documentation that a health care professional has verified the provider’s training and competency specific to the individual’s need in the client's file.
Specialized Support
I need support with these activities because [justify impairment score]
I need support with this task [frequency] times a [day/week/month] in the [morning/night/afternoon/no preference].
[Provider/Natural support] will support me with this task as part of the overall service of [example: personal care, respite care, community supports, etc]. Total units authorized for this overall service are not to exceed [total monthly units you are authorizing for the overall service such as personal care, respite care, community supports, etc.].
Other information you should know in supporting me with specific needs