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<div class="WordSection1">
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">Hello,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">The Board has received a few calls this month in which the nursing assistants claim that their training program faculty gave them inaccurate or incomplete information related to reimbursement of training program
costs. Thus this message is to provide clarity on the Nurse Aide Training and Competency Evaluation Program (NATCEP) Reimbursement.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">Attached is the current reimbursement form. Nursing facilities who receive Medicare or Medicaid funding are required by federal regulation to reimburse a certified nursing assistant (CNA) for training and testing
costs. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><i>T<span style="color:#44546A">his reimbursement only pertains to CNAs hired in a licensed nursing facility as identified by the Department of Human Services and/or the Centers for Medicare or Medicaid.
</span></i></b><span style="color:#44546A">In addition, the student:<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-indent:-.25in;mso-list:l1 level1 lfo2"><![if !supportLists]><span style="font-family:Symbol;color:#44546A"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="color:#44546A">Shall have successfully completed a nursing assistant training program;<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-indent:-.25in;mso-list:l1 level1 lfo2"><![if !supportLists]><span style="font-family:Symbol;color:#44546A"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="color:#44546A">Must have personally paid the training and testing fees in order to be eligible for the reimbursement;
<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-indent:-.25in;mso-list:l1 level1 lfo2"><![if !supportLists]><span style="font-family:Symbol;color:#44546A"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="color:#44546A">Has to be employed by a licensed nursing facility enrolled in Medicare and/or Medicaid; and<o:p></o:p></span></p>
<p class="MsoListParagraph" style="text-indent:-.25in;mso-list:l1 level1 lfo2"><![if !supportLists]><span style="font-family:Symbol;color:#44546A"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="color:#44546A">Needs to have accepted employment in the licensed nursing facility within the first 12 months after completion of his/her nursing assistant training program.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">The Code of Federal Regulations provides the following direction on the obligation and responsibilities for payment or reimbursement to nursing assistants for training course work at 42CFR 483.152(c) Prohibition
of charges:<o:p></o:p></span></p>
<p class="bullet1" style="mso-list:l2 level1 lfo3"><![if !supportLists]><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#44546A"><span style="mso-list:Ignore">(1)<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#44546A">No nurse aide who is employed by, or who has received an offer of employment from, a facility on the date on which the aide begins a nurse aide training
and competency evaluation program may be charged for any portion of the program (including any fees for textbooks or other required course materials).
<o:p></o:p></span></p>
<p class="bullet1" style="text-indent:0in;mso-list:none"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#44546A"><o:p> </o:p></span></p>
<p class="bullet1" style="mso-list:l2 level1 lfo3"><![if !supportLists]><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#44546A"><span style="mso-list:Ignore">(2)<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#44546A">If an individual who is not employed, or does not have an offer to be employed, as a nurse aide becomes employed by, or receives an offer of employment
from, a facility not later than 12 months after completing a nurse aide training and competency evaluation program, the State must provide for the reimbursement of costs incurred in completing the program on a pro rata basis during the period in which the
individual is employed as a nurse aide.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">Oregon Administrative Rule 411-086-0470 related to NATCEP, gives further details on the Medicaid licensed nursing facilities responsibilities and the reimbursement process to the nursing facilities by the Department
of Human Services (DHS). A facility must notify the nursing assistant upon hire that the nursing assistant may be eligible for reimbursement of costs associated with successful completion of a NATCEP training program. Failure to notify or reimburse an eligible
nursing assistant may results in penalties to the facility. Nursing facilities are not allowed to enter into a contract with the student to continue employment with the facility providing the training.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">The hiring nursing facility, after the nursing assistant completes training and certification, is responsible for reimbursement to the CNA of incurred approved training and testing expenses. If the NA is hired
within the 12 month period from date of completing the program then the reimbursement will be prorated (411-070-0470 (3)). An example would be a NA accepts a position with the first employing nursing facility six (6) months after completing training, that
nursing facility would be responsible for reimbursing fifty (50%) percent of the documented course costs.<o:p></o:p></span></p>
<p class="sub1" align="center" style="text-align:center"><span style="font-family:"Calibri",sans-serif;color:#44546A;font-weight:normal;font-style:normal">$1200 Total Costs ÷ 12 months=$100.00<o:p></o:p></span></p>
<p class="sub1" align="center" style="text-align:center"><span style="font-family:"Calibri",sans-serif;color:#44546A;font-weight:normal;font-style:normal">$100.00 x 6 months=$600.00<o:p></o:p></span></p>
<p class="sub1" align="center" style="text-align:center"><span style="font-family:"Calibri",sans-serif;color:#44546A;font-weight:normal;font-style:normal"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">Please feel free to contact me or Joanne Birney, Nursing Assistant Programs, DHS, Office of Licensing & Regulatory Oversight at
<a href="mailto:Joanne.Birney@state.or.us">Joanne.Birney@state.or.us</a> or 503-373-1964 with any further questions.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">Debbie<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt;font-family:"Monotype Corsiva";color:#44546A">Debra K. Buck, RN, MS<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="color:#44546A">Policy Analyst- Training & Assessment<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">Oregon State Board of Nursing<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">17938 SW Upper Boones Ferry Rd<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">Portland, OR 97224-7012<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">(971) 673-0636<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">(971) 673-0685 (main office)<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">(971) 673-0684 (fax)<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><a href="mailto:Debra.buck@state.or.us">Debra.buck@state.or.us</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:9.0pt;font-family:"Times New Roman",serif;color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:12.0pt"><span style="color:#44546A">Our Mission: To safeguard the public's health and well being by providing guidance for, and regulation of, entry into the profession, nursing education, and continuing safe practice.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A">This e-mail is intended for the named recipient only and may not be read, copied, discussed, or distributed by anyone except the named recipient or the agent or employee of the named recipient upon the named
recipient's directions. The named recipient is responsible for the confidentiality of the message. Please notify the sender should any part of the following document(s) fail to transmit correctly. Please destroy incorrectly transmitted documents immediately.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#44546A"><o:p> </o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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