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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>359534</law_id><section_number>32.1-331.04</section_number><catch_line>Personal care aides; orientation program</catch_line><edition url="https://vacode.org/2026/" slug="2026" current="TRUE" last_updated="2026-08-02">2026</edition><structure><unit label="title" level="1" order_by="75" identifier="32.1">Health</unit><unit label="chapter" level="2" order_by="14" identifier="10">Department of Medical Assistance Services</unit><unit label="article" level="3" order_by="1" identifier="1">General Provisions</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> The <span class="dictionary">Department</span> of Medical Assistance Services shall establish an orientation program for all personal care aides who provide self-directed services through the Medicaid program. The program shall have the following requirements: <a id="paragraph-1337660" class="section-permalink" href="https://vacode.org/32.1-331.04/#A"><i class="fa fa-link"/></a></p></section>
						<section id="A1" class="indent-1"><p><span class="prefix-number">1.</span> Attendance shall be limited to personal care aides, consumers who utilize the services of personal care aides, home care workers&#x2019; employers of record, and worker advocacy organizations that represent personal care aides; <a id="paragraph-1337661" class="section-permalink" href="https://vacode.org/32.1-331.04/#A1"><i class="fa fa-link"/></a></p></section>
						<section id="A2" class="indent-1"><p><span class="prefix-number">2.</span> Orientations shall be held in-<span class="dictionary">person</span> or online at least quarterly, and personal care aides shall be invited and encouraged to attend at least one such orientation per calendar year; and <a id="paragraph-1337662" class="section-permalink" href="https://vacode.org/32.1-331.04/#A2"><i class="fa fa-link"/></a></p></section>
						<section id="A3" class="indent-1"><p><span class="prefix-number">3.</span> The orientation curriculum shall include content addressing operational procedures and recordkeeping, including pay and benefits; available assistance and resources; roles and responsibilities in self-direction; diversity and <span class="dictionary">equity</span> training; transparency and <span class="dictionary">fraud</span>; and worker rights and responsibilities. <a id="paragraph-1337663" class="section-permalink" href="https://vacode.org/32.1-331.04/#A3"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The <span class="dictionary">Department</span> of Medical Assistance Services may, in its discretion, <span class="dictionary">contract</span> with another state agency to provide the orientation described in this section. <a id="paragraph-1337664" class="section-permalink" href="https://vacode.org/32.1-331.04/#B"><i class="fa fa-link"/></a></p></section></text><history>2021, Sp. Sess. I, c. 236.</history><metadata><court_decisions></court_decisions></metadata></law>
