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Kathleen,
We read the regs the same way you do; and limit SC's to insulin and
Epi.
Medicaid, BDS, BEAS, DHHS, BON, and our agencies, need to come-together
to create a common set of rules for our programs. (Or at least they
should meet each other and chat!!!!!)
Please let me know if you learn anything new.
Good luck,
Ham
Ham Robbins, RN/Paramedic
Goodwill Industries of Northern New England
243 Leighton Road
Augusta, Maine 04330
(207) 626-0170 ex 262
FAX (207) 622-3517
>>> "Kathleen Bernard" <voodoosgirl@midmaine.com> 12/10/04 11:59:27 PM
>>>
----- Original Message -----
From: Kathleen Bernard
To: Beas-crma@lists.st.me.us
Sent: Friday, December 10, 2004 7:50 AM
Subject: sub-cutaneous injections
Hi Everyone,
I would like to get your feedback on a recent dilemma. I cover 6 group
homes under the assisted living regs, PNMI and BDS. One home is a level
IV assisted living home but serves adults with mental illness. We have
CRMA's, one LPN that coordinates appointments and works M-F days.
We needed home health to provide evening SC lovenox which they did but
Medicaid denied their payments. The Medicaid folks feel that CRMA's can
administer this SC medication because the assisted living regs state SC
insulin is ok so the assumption is that SC anything is ok.
Is anyone aware of CRMA's giving anything but bee sting and insulin
injections? The CRMA course seems specific, as do the regulations....bee
sting and insulin with instruction from an RN and not part of the CRMA
course itself.
Through the many levels of conversations about this subject Peter
Mauro's name was mentioned. It is unclear to me at this point what
details were presented to him.
Thanks for any help and guidance.
Kathleen Bernard RN,BC
Community Health and Counseling/Bangor
947-0366 x452
the email is my home, I don't have work email
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