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                HOME VISITING GUIDELINES
  
INTRODUCTION
 
Home visiting services should be available through all LHDs throughout Kentucky.  Home visits may be performed for specific programmatic reasons (See Examples For Home Visiting in this section) OR they may be performed due to referrals from private physicians and/or hospitals.  These services should be available to any Kentucky citizens, not just current health department patients.  Therefore, the need to anticipate home visiting services should be included in the LHD’s plan and budget.  This will allow for home visiting services to be provided when the need for them occurs.  All home visits must meet 907 KAR 3:130 Medical Necessity, as outlined in the General Information Section of the PHPR.
  
DEFINITIONS*
 
Professionals  	Registered Nurses, Licensed Practical Nurses under the supervision of an RN, other clinicians
 
Allied Health Professionals	Nutritionists, Health Educators, Social Workers acting as Health Educators, Environmentalists
 
Para-Professionals	Resource Mothers, Community Health Workers, Support Staff
 
*For additional definitions of personnel for Health Access/Nurturing Development Services, see the HANDS Program Handbook (each district/independent county is required to have a copy for viewing by all HANDS staff).  The handbook is also available for review on the HANDS web-based application. 
  
EXAMPLES FOR HOME VISITING**
Maternity  	
Visits that are medically and/or behaviorally indicated and documented as high risk maternity
Home visits made by a nurse or allied health professional––See Guidelines for Home Visiting Services in this section for circumstances that may justify a home visit by a professional nurse or allied health professional
For Para-professionals, see guidelines in the Resource Person Section
   
** WIC alone is not an appropriate reason for a home visit.  See WIC Procedures for Home Visiting in the WIC Section. 
Infants/Children
A request of a physician, hospital, or laboratory for a r
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