Training rules, surveys, and what agencies have to document.
Federal Medicaid rules require immediate reporting of abuse and neglect in ICF/IIDs and a state incident system for HCBS waivers. This guide explains 42 CFR 483.420, 483.430 and 441.302, what a federal audit found when incidents went unreported, and how to build reporting training that staff can use.
· 7 min
ICF/IIDs must train all staff, contractors and volunteers on their emergency plan at hire and at least every 2 years under 42 CFR 483.475. Here's who needs training, how to prove staff know the plan, the twice-yearly exercises and quarterly evacuation drills, and how the timing differs for hospice, home health and nursing homes.
· 7 min
Federal Medicaid rules say the person leads their own HCBS service plan, and they spell out what the plan must include and when it's reviewed. Here's what 42 CFR 441.301 means for DSPs and provider agencies, including rules on restrictions and the 2024 annual review standard.
· 8 min
OSHA requires bloodborne pathogens training for care staff before exposure tasks begin and within one year of their last session. Here's what 29 CFR 1910.1030 says training must cover, how online courses can qualify, and which records to keep for three years.
· 7 min
State rules expect care agencies to prove every requirement was met on time. Why training spreadsheets break down, and what to look for in training tracking software built for human services.
· 5 min
