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REV. APRIL 2, 2005

NEBRASKA HEALTH AND CCS PROGRAM MANUAL LETTER # 27-2005 HUMAN SERVICES MANUAL 392 NAC 5-004.04

5-004.04 Agreement Completion: When a potential provider has met all necessary requirements, the worker:

1. Establishes rates and terms of service with the provider and completes the agreement, stating any provider limitations; and

2. Enters the provider on N-FOCUS. 5-004.05 Multiple Facilities: There are two methods by which a provider with more than one service facility can be evaluated and approved or disapproved. The unit(s) involved and the provider decide which option to use. 5-004.05A Option 1: A separate agreement may be negotiated with each facility. This option must be used if the facilities:

1. Will bill separately; or 2. Charge different rates for the same service.

5-004.05B Option 2: One agreement may be negotiated, listing all the facilities.

5-004.06 Provider Evaluation

5-004.06A Resource Development Responsibilities: The worker must:

1. Hold a face-to-face evaluation interview with each potential provider at least annually; 2. Annually visit each facility in which services are provided outside of the client’s home; and 3. Assess the health and safety of service provision at least once during the agreement period by observing service delivery, visiting the service facility, interviewing the provider, or interviewing a client served by the provider.

For the exception for license-exempt providers, see 392 NAC 5-004.06A2. 5-004.06A1 Licensed Child Care Providers: After the initial agreement process, subsequent renewals may be conducted by phone, mail, or office visit.

5-004.06A2 License-Exempt Child Care Providers: The worker must visit the provider’s home when the provider initially signs up with the Department. This visit must be conducted within 90 days of the completion of the provider agreement. Then the worker must make at least one home visit within the next 36 months if the provider:

1. Has no negative reports; 2. Has no billing problems; and 3. The supervisor is in agreement. If there are negative reports, billing problems, or the supervisor feels it is necessary, the worker must make an annual home visit. 5-004.06B Secondary Agreements: Site visits are not required for facilities with secondary agreements. The service provider must ensure that providers with secondary agreements meet all standards and requirements.