Minnesota Minnesota

Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Independent licensed practical nurse (LPN) and registered nurse (RN) in home care nursing (HCN)

Page posted: 9/1/05

Page reviewed: 5/15/26

Page updated: 5/15/26

Legal authority

Minn. Stat. Ch. 148, Minn. Stat. §256B.0625, subd. 7, Minn. Stat. §256B.0651, Minn. Stat. §256B.0654, Minn. R. 6305.0300

Definitions

Independent licensed practice nurse (LPN): LPN not employed by an HCN agency or Medicare-certified agency that provides covered HCN services.

Independent registered nurse (RN): RN not employed by an HCN agency or Medicare-certified agency that provides covered HCN services.

Covered services

Independent LPNs and RNs can perform covered services listed on CBSM – HCN.

Non-covered services

An independent LPN or RN cannot provide HCN services to their:

  • · Spouse or minor child, including a spouse or minor child using consumer directed community supports (CDCS).
  • · Foster child younger than age 18 who is living in the nurse’s home.
  • An independent LPN or RN cannot be paid for nursing services they provide to a person if the LPN or RN owns an HCN agency or Medicare-certified agency that provides HCN to that person.

    Supervision

    Only an RN may delegate and supervise services, per the Nurse Practice Act. An RN must supervise an independent LPN. The time the RN spends supervising the LPN is not a covered HCN service.

    Provider standards and qualifications

    Professional nurses who practice independently must take on the responsibilities that go along with being a small business, such as workers’ compensation, taxes and insurance.

    LPN requirements

    Independent LPNs must be:

  • · Currently licensed as an LPN by the Minnesota Board of Nursing with no restrictions.
  • · Enrolled as a Minnesota Health Care Programs (MHCP) provider (refer to MHCP Provider Manual – Home care services HCN services).
  • · Supervised by an RN.
  • · Authorized on the person’s service agreement.
  • RN requirements

    Independent RNs must be:

  • · Currently licensed as an RN by the Minnesota Board of Nursing with no restrictions.
  • · Enrolled as an MHCP provider (refer to MHCP Provider Manual – Home care services HCN services).
  • · Authorized on the person’s service agreement.
  • Additional resources

    CBSM – HCN
    MHCP Provider Manual – Home care services HCN services
    Minnesota Board of Nursing
    Minnesota Board of Nursing – Nurse Practice Act

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