OBJECTIVE: This article provides instructions on how to enter a summary write up for the Code 50 Program/ADAPT 30 in MatrixCare.
NOTE: ADAPT 30-have up to 120 hours to use in that 30-day period
NOTE: Day 1 is the day that the discharge home from the They must be an inpatient, observation does not qualify. Adapt 30 should typically be a 2-4 hour visit per day. YOU DO NOT NEED A COST ESTIMATE UNDER ORDER TAB
For Example: HHA to provide 2-4 hours, 5-7 days a week, not to exceed 28 hours per week for the next 30 days. Services to be funded by Medicaid.
RN to provide vital signs, check pulse oximetry on admission and as needed during the first 30 days. RN to monitor for effectiveness of interventions and goals. If the patient is eligible for long-term MAPA, RN will reassess and send order for physician approval. If the patient no longer meets requirements for HHA services, the RN will refer patient to the appropriate services as needed.
HHA to assist with all ADLs such as bathing(bed/tub/shower), hair care, dressing, nail care (no clipping), incontinence care, meal prep, light housekeeping, transfers and medication reminders only.
HHA/family to report any hospitalizations, falls, medication changes or unusual occurrences to the office.
HHA to monitor for seizure activity, protect client from harm and reassure client. HHA to call 911 for emergency situation. Report seizure activity to Office RN immediately.
Patient denies advanced directives and wishes to be a full code. Patient's emergency contact is: Patient/Family to assume care in the absence of Adaptive staff.
Patient was able to participate in the plan of care.
Activities: Add a two week follow up (this is when you need to evaluate for long term services)
Authorization: Day one is the day they were discharged home. This is a 30-day authorization period.
- Payer: PA
- Service: HHA
- Units: total hours for the week
- Frequency: treatment week
- Count: 4 or 5 (depending on the month)
Write up would look like:
<Patient Name> is a 72-year-old female that lives alone in a small house. Theresa was discharged from Southern Indiana Rehab Hospital following Lumbar Fusion on 11/29/17 with an Adapt30 order for 30 days of HHA services. Xxxxxx has a history of Degenerative Joint Disorder and Bladder Incontinence. She had to have surgery to fuse her left hip joint. She is unable to bend with that left hip, that joint remains fused straight. When she is sitting, her left leg has to be extended out in front of her. As a result of that hip surgery her left leg is 1.5 inches shorter than her right, she wears a shoe with a built-up heel to make up the difference. She has chronic pain of most of her joints and due to her recent surgery, fused hip and shorter leg on the left she is an awkward unsteady transfer, creating a high risk for falls. She uses a walker and wheelchair. She uses the walker to ambulate short distances and in the bathroom to assist with transfers into/out of shower. She is not able to stand for long periods of time and uses her wheelchair for sitting and going longer distances. She is incontinent of bladder mostly due to the amount of time it takes her to ambulate and transfer, she wears briefs always to protect her clothing. Theresa needs assistance with all her ADLs due to her unsteady gait and chronic pain.
Theresa is unable to complete all her ADLs on her own due to limited range of motion in multiple joints. She needs assistance with bathing, grooming, dressing, as well as transfers and ambulation. Theresa needs assistance with meal preparation, light housekeeping and laundry. HHA will also provide medication reminders as well as assist with repositioning to help alleviate pain.
Source: Implementation Specialist