Private duty lpn, rn supervisor??

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Hey everyone!

I'm trying to fill out the enrollment application to be a Medicaid provider on ohiohcp.org. I finished it up until page 15 of 17 it's asking me for a rn nursung supervisor. I am only an lpn I have had my license since August. It will not let me finish the application until I write a rn name and license down. Do I find my own rn and can it be any rn? I know of two that said they might but do they need to do anything? I only got 3 days to finish the app and I don't know what to do!

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If you have already approached two and they are willing to do this, then, of course, pick one of them and give their info on the app. Of course, talk to that person and inform them (before you write that person's info on the app). You can't take any further action until you get past submitting the application. Good luck.

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Specializes in Peds(PICU, NICU float), PDN, ICU.

The RN supervisor must be available to you at all times because you are an LPN. Also, the RN supervisor must do initial assessments, care plan/485, assessments when the patient comes home from being admitted in the hospital, etc. This is why most LPNs work for agencies.

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Specializes in assisted living.

interesting....I know of some LPNs that do PDN, are paid by medicaid but don't work for agencies. Do you have a number you can call in your state...for the agency in charge of MA numbers?? Hope you figured it out :-)

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Specializes in Peds(PICU, NICU float), PDN, ICU.
interesting....I know of some LPNs that do PDN are paid by medicaid but don't work for agencies. Do you have a number you can call in your state...for the agency in charge of MA numbers?? Hope you figured it out :-)[/quote']

They may not be doing it legally. Just because they are doing PDN as an LPN, doesn't mean it's legal or ok with the BON.

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Specializes in assisted living.

Well, in my state the gov. website specifically states that LPNs can do PDN and be bill medicaid with an NPI number, so no, I don't think they are doing it illegally :-) I have no idea what the application asks for though :-)

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Specializes in Peds(PICU, NICU float), PDN, ICU.
Well in my state the gov. website specifically states that LPNs can do PDN and be bill medicaid with an NPI number, so no, I don't think they are doing it illegally :-) I have no idea what the application asks for though :-)[/quote']

You sure can bill the state. But you can't do the things listed in my last post, which is why you must have a RN. It has to do with the BONs rules.

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Specializes in assisted living.

yes...I see what you are saying. I really have no idea how the LPNs I know are doing things....who is supervising at their non-agency PDN jobs or how that works if LPNs are allowed to do non-agency PDN and bill medicaid...but then of course they won't have an RN supervisor...just other RNs that maybe work the same case. I did read something that care can be supervised by an RN or ordered by the physician. who knows. But I suppose that each patient has a an RN case manager...so maybe that is how that is solved and then they make sure that an RN does the above things you mentioned :-)

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Specializes in Peds(PICU, NICU float), PDN, ICU.

It probably would be best for the OP to contact their state BON and ask the practice consultant. Better to be told "no" now than to lose a license or be charged with fraud later!

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Specializes in Med-Surg, CT Step-down, Home Health.

I live in Ohio and serve as a supervisor for several medicaid IP LPNs. The RN is responsible for performing an initial visit to develop the poc/485 and obtaining doctor's orders. S/he must also perform supervisory visits every 60 days and renew the 485. Make sure whoever you use as your supervisor knows Ohio medicaid rules....If they do not do their job properly, it can cost you money at your yearly review (i.e 485s must be signed by the doctor prior to the start of your cert period, if it is not and you work and bill out for it, the state will make you reimburse those funds because it is considered working without a doc order). The RN must also be available for consult if there is a change in the client's condition.

LPN are allowed to directly bill medicaid for their services in Ohio.

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Specializes in Peds(PICU, NICU float), PDN, ICU.
I live in Ohio and serve as a supervisor for several medicaid IP LPNs. The RN is responsible for performing an initial visit to develop the poc/485 and obtaining doctor's orders. S/he must also perform supervisory visits every 60 days and renew the 485. Make sure whoever you use as your supervisor knows Ohio medicaid rules....If they do not do their job properly, it can cost you money at your yearly review (i.e 485s must be signed by the doctor prior to the start of your cert period, if it is not and you work and bill out for it, the state will make you reimburse those funds because it is considered working without a doc order). The RN must also be available for consult if there is a change in the client's condition.

LPN are allowed to directly bill medicaid for their services in Ohio.

That's exactly what I've been trying to say....you just worded it better! :-)

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Specializes in Pediatric Private Duty; Camp Nursing.

Ugh, it's just so much easier to just show up, do the work, leave, and let my agency take a big chunk of it and deal w the paperwork! I like to keep it simple!

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