DHS 107.11(3)(d)(d) All home health aide visits when 4 or more hours of continuous care is medically necessary; and DHS 107.11(4)(a)(a) The written plan of care shall be developed and reviewed concurrently with and in support of other health sustaining efforts for the recipient in the home. DHS 107.11(4)(c)(c) Services provided to a recipient who is a resident of a community-based residential facility shall be rendered according to the requirements of ch. DHS 83 and shall not duplicate services that the facility has agreed to provide. DHS 107.11(4)(d)1.1. Except as provided in subd. 2., home health skilled nursing services provided by one or more providers are limited to less than 8 hours per day per recipient as required by the recipient’s medical condition. DHS 107.11(4)(d)2.2. If the recipient’s medical condition worsens so that 8 or more hours of direct, skilled nursing services are required in a calendar day, a maximum of 30 calendar days of skilled nursing care may continue to be reimbursed as home health services, beginning on the day 8 hours or more of skilled nursing services became necessary. To continue medically necessary services after 30 days, prior authorization for private duty nursing is required under s. DHS 107.12 (2). DHS 107.11(4)(e)(e) An intake evaluation is a covered home health skilled nursing service only if, during the course of the initial visit to the recipient, the recipient is admitted into the agency’s care and covered skilled nursing services are performed according to the written physician’s orders during the visit. DHS 107.11(4)(f)(f) A skilled nursing ongoing assessment for a recipient is a covered service: DHS 107.11(4)(f)1.1. When the recipient’s medical condition is stable, the recipient has not received a covered skilled nursing service, covered personal care service, or covered home visit by a physician service within the past 62 days, and a skilled assessment is required to re-evaluate the continuing appropriateness of the plan of care. In this paragraph, “medically stable” means the recipient’s physical condition is non-acute, without substantial change or fluctuation at the current time. DHS 107.11(4)(f)2.2. When the recipient’s medical condition requires skilled nursing personnel to identify and evaluate the need for possible modification of treatment; DHS 107.11(4)(f)3.3. When the recipient’s medical condition requires skilled nursing personnel to initiate additional medical procedures until the recipient’s treatment regimen stabilizes, but is not part of a longstanding pattern of care; or DHS 107.11(4)(g)(g) Teaching and training activities are covered services only when provided to the recipient, recipient’s family or other caregiver in conjunction with other covered skilled nursing care provided to the recipient. DHS 107.11(4)(h)(h) A licensed nurse shall administer medications to a minor child or to an adult who is not self-directing, as determined by the physician, to direct or administer his or her own medications, when a responsible adult is not present to direct the recipient’s medication program. DHS 107.11(4)(i)(i) Services provided by an LPN which are not delegated by an RN under s. N 6.03 are not covered services. DHS 107.11(4)(j)(j) Skilled physical and occupational therapy and speech pathology services are not to include activities provided for the general welfare of the recipient or activities to provide diversion for the recipient or to motivate the recipient. DHS 107.11(4)(k)(k) Skilled nursing services may be provided for a recipient by one or more home health agencies or by an agency contracting with a nurse or nurses only if the agencies meet the requirements of ch. DHS 133 and are approved by the department. DHS 107.11(4)(L)(L) RN supervision and administrative costs associated with the provision of services under this section are not separately reimbursable MA services. DHS 107.11(4)(m)1.1. A home health aide may provide assistance with a recipient’s medications only if the written plan of care documents the name of the delegating registered nurse and the recipient is aged 18 or more; DHS 107.11(4)(m)2.2. Home health aide services are primarily medically oriented tasks, as determined by the delegating RN, when the instability of the recipient’s condition as documented in the medical record is such that the recipient’s care cannot be safely delegated to a personal care worker under s. DHS 107.112; DHS 107.11(4)(m)3.3. A home health aide visit which is a covered service shall include at least one medically oriented task performed during a visit which cannot, in the judgment of the delegating RN, be safely delegated to a personal care worker; and DHS 107.11(4)(m)4.4. A home health aide, rather than a personal care worker, shall always provide medically oriented services for recipients who are under age 18. DHS 107.11(5)(5) Non-covered services. The following services are not covered home health services: DHS 107.11(5)(b)(b) Skilled nursing services provided for 8 or more hours per recipient per day;