Section .1000 ‑ Administration

Link to law: 10a - health and human services/chapter 13 - nc medical care commission/subchapter j/10a ncac 13j .1001.html
Published: 2015

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(a)  The governing body or its designee shall establish and

implement written policies governing agency operation.  Such policies shall be

available for inspection by the Department.  The policies shall include:

(1)           a description of the scope of services offered;

(2)           admission and discharge policies;

(3)           supervision of personnel;

(4)           development of, and updates to, the plan of


(5)           management of emergency care situations in

the home;

(6)           time frame for completion and return of

service records to the agency;

(7)           personnel qualifications;

(8)           an organizational chart;

(9)           program evaluation;

(10)         employee and client confidentiality; and

(11)         coordination of and referral to and from

other community agencies and resources.

(b)  The agency shall designate an individual to serve as

agency director.  The agency director shall have the authority and

responsibility for administrative direction of the agency and shall meet one or

more of the following qualifications:

(1)           a health care practitioner as defined in  G.S.


(2)           an individual who has at least two years of

supervisory or management experience in home care or any other provider

licensed pursuant to G.S. 131E or G.S. 122C; or

(3)           an individual who holds a bachelor's degree

in  health, business or public administration science and has at least one year

of supervisory or management experience in home care or other licensed health

care program.

Such qualifications do not apply with respect to persons

acting in the capacity of agency director prior to October 1, 2006.

(c)  The agency shall designate a person responsible for

supervising each type of home care service contained in Section .1100 of this

Subchapter that is provided by the agency either directly or by contract.  This

individual may be the supervisor for one or more home care services and may

also serve as the agency director.

(d)  There shall be written documentation that specifies the

responsibilities and authority of the agency director and supervisor.

(e)  If the position of agency director becomes vacant, the

Department shall be notified within five working days in writing of such

vacancy along with the name of the replacement, if available.  Agency policies

shall define the order of authority in the absence of the administrator.

(f)  The agency shall have the ultimate responsibility for

the services provided under its license; however, it may make arrangements with

contractors and others to provide services in accordance with Rule .1111 of

this Subchapter.

(g)  An agency shall have written policies which identify

the specific geographic area in which the agency provides each service.  If an

agency plans to expand its geographic service area without opening an

additional site, the Department shall be notified in writing 30 days in



History Note:        Authority G.S. 131E‑140;

Eff. July 1, 1992;

Amended Eff. October 1, 2006; February 1, 1996.