Any child/youth eligible for nursing support services requires at minimum an annual assessment: (1) through NSS to confirm ongoing eligibility and to update a child/youth's medical documentation including nursing care plan and (2) by the most responsible physician/and or medical service(s) to ensure there are current (within preceding 12 months) medical orders supporting the care being provided in the home/community setting, and/or when changes in a child's medical care/needs occur.