The Long-Term Care Regulatory Provider Letter PL 2021-41 explains the concept of Health Maintenance Activities (HMAs) and their optional use in Assisted Living Facilities (ALFs). HMAs are specific tasks for residents with functional disabilities that require a higher level of skill than personal care services. An HMA can be implemented based on a Registered Nurse (RN) assessment and agreement from the resident or their legal representative. The letter provides examples of HMAs, tasks that cannot be designated as HMAs, and conditions for personal care staff to perform HMAs. It also outlines RN assessment requirements, documentation procedures, and frequently asked questions related to HMAs. ALFs may need to adjust their practices based on this guidance and ensure proper training and documentation for staff performing HMAs.
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