Staff Caring for Residents Receiving Hospice Services. Staff caring for a resident on hospice are required to have additional training beyond the four initial and on-going hours that all direct care staff must receive on postural supports, restricted conditions, and hospice care. Billing Frequently Asked Questions What are the general conditions which must be met in order to bill for a service? All billed services except assessment must be medically necessary for the treatment of a FAIR HEARINGS -- Hearings are often required to obtain an increase in hours of personal care/home attendant services, to contest denials of applications based on the alleged need for a "higher level of care," etc. MLTC Policy 16.07 can be useful in thee hearings and see above re standards of assessment of hours. 2. Promoted across the facility through direct care, administrative and logistical staff. 3. Adequately funded to provide a safe environment for patients and staff. B. Associate Chief Nursing Service/Chief Nurse Executive: The Associate Chief Nursing Service/Chief Nurse Executive/Designee is responsible for: 1. and feeding assistants (FA), collectively referred to as direct care staff. The percentage is calculated by adding the total hours worked in a two week period by direct care staff employed in the nursing home for two years or longer, divided by the total hours worked by all direct care staff during that same two week period. Home . Direct Ed Educational Services is educator led, student driven and solutions oriented. We are a leading educational services organization that offers a full spectrum of solutions to our clients including special education and substitute services.