COMPLETING AND SUBMITTING A NURSING ASSISTANT REGISTRY INQUIRY FORM

COMPLETING AND SUBMITTING A NURSING ASSISTANT REGISTRY INQUIRY FORM DSHS 16-193 (REV. 09/2016) OBRA NURSE AIDE REGISTRY

AT THE END OF THIS PRESENTATION YOU WILL BE ABLE TO Understand the purpose of the OBRA Nurse Aid Registry Accurately complete and submit a Nursing Assistant Registry Inquiry Form for each type of OBRA Inquiry When needed, accurately resubmit forms with further information. 2

What is the OBRA Nurse Aide Registry? 3

The Registry ensures NACs working in nursing homes do not go longer than 24 months without at least one shift of compensated, nursing-related duties. 4

Established by Federal Regulation 42 CFR § 483.12 - “Freedom from Abuse, Neglect, and Exploitation” at least one shift 6-8 hours every 24 months calculated from previous official last date of work for compensation money, transportation costs (gas, bus fare, etc.), meals, lodging, etc. providing nursing/nursing related services Personal hygiene (bathing, dressing, grooming, oral care) Mobility (transfer and ambulation) Continence management Feeding In hospital, home health, private care, etc. 5

What the OBRA Nurse Aide Registry IS NOT 6

The OBRA Registry is NOT involved in the licensing, credentialing, or testing of NACs. The OBRA Registry is NOT part of the Department of Health’s licensing/credentialing function. The status of an NAC on the OBRA Registry is NOT influenced by the status of their license/credential at the Department of Health, and vice-versa. I

THE NURSING ASSISTANT REGISTRY INQUIRY FORM (Inquiry Form) uiry q n i n a t ithou w C A N try. s n i a g e s R a A d e hire e OBR b h t o t n o C A e v O B RA nN cti e a a h r s t o a f y d b s e n d ulatio erifie receiv g v g e e n r i t o m e s. l a e h a d b r / s e e n e d h o ti t e i ti f l l i nst ifica ty unti in nursing fac i l i c a f It is agai mitted and ver a b ing for owed l u k l s r a o g t n n w i e e n i b ot beg ional employm n n a c e vis loye An emp There is NO pro . Registry 8

THE FACILITY MUST SUBMIT AN INQUIRY FORM FOR New Employee Employee Renewal Employee Termination 9

Inquiry Form – NEW EMPLOYEE WHAT IS A NEW EMPLOYEE? Not currently an NAC at your facility A rehire An NAR moving into an NAC position a fu e v a st h u M : R . BE ire h M E u o M y RE RE O F E ed). B t t a i d m k Sub not be bac (can 10 t ate d t r a ure st

Inquiry Form – RENEWAL WHAT IS A RENEWAL? Current NACs need to be re-verified every 24 months. td R r E a t B s al EM n i M g E i r R o e h t ed Ne 11 ty a C NA s a e at cilit a f r ou y

Inquiry Form – TERMINATION WHAT IS A TERMINATION? A current NAC ending employment with your facility, whether voluntary or enforced. lity i c a f r t you a C A sN R a E e B r i ility h M c E f a f o M r e E u t R t yo ity l da l a i a c n k i a r f g o i r or you of w t y a a d k r Need l wo cia f ffi o o y t a s la ial d c ffi o Need t r las e ft a t i Subm 12

FACILITY Information Needed to Complete Form Facility Name (facility employing NAC) ION IS T A M R IRY U NFO I Q S N I I H E T F TH IF ANY O T OR MISSING, ETE. L P M O C C E A S IN D INCORR E N R RETU WILL BE Contact Person (can answer questions about submission) Contact Person’s Phone Number (direct number is preferred, please provide extension number) Return E-Mail Address (Only one e-mail per form. The Registry does not store e-mail addresses, the information provided here is literally cut and pasted for the return response.) Facility Physical Address 13

WHERE TO SUBMIT INQUIRY FORMS Inquiry forms must be submitted by e-mail to: [email protected] For questions, please contact us at: Message Line: (360) 725-2597 E-Mail: [email protected] 14

NAC Information Needed to Complete Form Full Name Birthdate Social Security Number TION IS UIRY A M R INFO S E I NQ I H H T T , F G O . N IF ANY CT OR MISSI INCOMPLETE S RE INCOR RETURNED A E WILL B NAC Credential Number Action Requested (New Hire, Renewal, Termination) Effective Date of Action Work History (if needed) - Places and Dates 15

WORK HISTORY Only work performing compensated NAC duties qualifies as work history. A list of previously held employment. For facility, include: name of facility, and the start and end dates of employment. For private client, include: start and end dates of employment, specific nursing-related duties performed, and what type of compensation was received. NAC nursing/nursing-related skills include assisting patient(s) with: 16 Personal hygiene (bathing, dressing, grooming, oral care) Mobility (transfer and ambulation) Continence management Feeding in hospital, home health, private care, etc.

MOST COMMON REASONS NAC INQUIRIES ARE NOT VERIFIED 17

INQUIRIES WILL BE RETURNED FOR THE FOLLOWING REASONS: Form is incomplete or is handwritten Name does not match database (different/misspelled) Social security number does not match database Person has expired from the Registry Work history is needed Work history is not compensated, NAC nursing-related duties Effective date of action is not provided Effective date for New Hire is not a future date (continued) 18

INQUIRIES WILL BE RETURNED FOR THE FOLLOWING REASONS: (continued) Inquiry is not for NAC position NAC is not on the OBRA Registry Person was originally hired without an inquiry being submitted for a pre-hire check Multiple forms are submitted within a short time period with only one or two names per form 19

THINGS TO REMEMBER Employee MUST BE VERIFIED in order to work in your facility Employee is not eligible to work until date verified by the Registry Form must be typed Form must be complete Inquiries are processed in the order received (no exceptions) Inquiries are responded to within two working days (contact the Registry if not) Contact name you provide should be the person able to answer any questions about the inquiry 20

RESUBMITTING INQUIRY FORM FOR A RETURNED UNVERIFIED INQUIRY 21

HOW TO READ THE RESPONSE TO YOUR INQUIRY A CERTIFIED NURSING ASSISTANT CANNOT WORK IN YOUR FACILITY UNTIL VERIFIED AS ACTIVE When you receive an inquiry response, check that the “Registry Status” field says “Active.” If it is “Active” then your inquiry has been verified. If it is not “Active”, read the NOTE section for that person. This note will explain why the person cannot be verified and what action(s) to take to resolve the issue(s). Follow the instructions exactly by correcting or adding information requested and resubmitting an updated inquiry form . (CONTINUED) 22

HOW TO READ THE RESPONSE TO YOUR INQUIRY (CONTINUED) The original action requested should remain on the inquiry form. (All information regarding a person’s inquiry should be together on one inquiry form.) Any documents requested in the response must be included with the resubmitted inquiry form. The facility is responsible for obtaining and providing the employee’s information. Please do not instruct an employee or potential employee to contact the Registry. A CERTIFIED NURSING ASSISTANT CANNOT WORK IN YOUR FACILITY UNTIL VERIFIED AS ACTIVE 23

EXAMPLES OF COMPLETED INQUIRY FORMS 24

EXAMPLE: NEW EMPLOYEE 25

EXAMPLE: NAR TO NAC 26

EXAMPLE: RENEWAL 27

EXAMPLE: TERMINATION 28

EXAMPLE: COMBINED ACTIONS 29

IF YOU HAVE ANY QUESTIONS, PLEASE DON’T HESITATE TO CONTACT US Message Line: (360) 725-2597 E-Mail: [email protected] 30