X hits on this document

Word document

I.EXECUTIVE ORDERS - page 191 / 359

1585 views

0 shares

0 downloads

0 comments

191 / 359

PATIENT ACKNOWLEDGEMENT

I, the above-named patient, or legal representative of such patient, hereby acknowledge receipt, on the date indicated and prior to the described referral, of a copy of the foregoing Disclosure of Financial Interest.

________________________________________

Signature of Patient or Patient's Representative)

AUTHORITY NOTE:Promulgated in accordance with R.S. 37:1182.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Board of Pharmacy, LR 29:2114 (October 2003), effective January 1, 2004, repromulgated LR 34:2160 (October 2008).

Malcolm J. Broussard

Executive Director

0810#021

RULE

Department of Health and Hospitals

Office of Aging and Adult Services

Home and Community Based Services Waivers Adult Day Health Care (LAC 50:XXI.Chapters 21-39)

The Department of Health and Hospitals, Office of Aging and Adult Services has amended LAC 50:XXI.Chapters 21-39 in the Medical Assistance Program as authorized by R.S. 36:254 and pursuant to Title XIX of the Social Security Act. This Rule is promulgated in accordance with the provisions of the Administrative Procedure Act, R.S. 49:950, et seq.

Title 50

PUBLIC HEALTH—MEDICAL ASSISTANCE

Part XXI.  Home and Community Based Services Waivers

Subpart 3.  Adult Day Health Care

Chapter 21.General Provisions

§2101.Introduction

A.These standards for participation specify the requirements of the Adult Day Health Care (ADHC) Waiver Program. The program is funded as a waived service under the provisions of Title XIX of the Social Security Act and is administrated by the Department of Health and Hospitals (DHH).

B.Waiver services are provided under the provisions of the approved waiver agreement between the Centers for Medicare and Medicaid Services (CMS) and the Louisiana Medicaid Program.

C.Any provider of services under the ADHC Waiver shall abide by and adhere to any federal or state laws, rules or any policy, procedures, or manuals issued by the department. Failure to do so may result in sanctions.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:2034 (September 2004), amended by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 34:2161 (October 2008).

§2103.Program Description

A.An adult day health care waiver program expands the array of services available to individuals with functional

impairments, and helps to bridge the gap between independence and institutional care by allowing them to remain in their own homes and communities. This program provides direct care for five or more hours a day (not to exceed five days per week) to individuals who have physical, mental or functional impairments.

B.The target population for the ADHC Waiver Program includes individuals who:

1.are 65 years old or older; or
2.22 to 64 years old and with a disability according to Medicaid standards or the Social Security Administration’s disability criteria; and
3.meet nursing facility level of care requirements.

C.The long-range goal for all adult day health care participants is the delay or prevention of long-term care facility placement. The more immediate goals of the adult day health care waiver are to:

1.promote the individual’s maximum level of independence;
a. - f.Repealed.
2.maintain the individual’s present level of functioning as long as possible, preventing or delaying further deterioration;
3.restore and rehabilitate the individual to the highest possible level of functioning;
4.provide support and education for families and other caregivers;
5.foster socialization and peer interaction; and
6.serve as an integral part of the community services network and the long-term care continuum of services.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:2034 (September 2004), amended by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 34:2161 (October 2008).

§2105.Definitions

Repealed.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:2035 (September 2004), amended by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 32:2256 (December 2006), repealed LR 34:2161 (October 2008)

§2105.Request for Services Registry (Formerly §2107)

A.The Department of Health and Hospitals is responsible for the Request for Services Registry, hereafter referred to as "the registry", for the Adult day health care waiver. An individual who wishes to have his or her name placed on the registry shall contact a toll free telephone number which shall be maintained by the department.

B.Individuals who desire their name to be placed on the ADHC Waiver registry shall be screened by the department, or its designee, to determine whether they meet nursing facility level of care. Only individuals who meet this criterion will be added to the registry.

C. - D.Repealed.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and pursuant to Title XIX of the Social Security Act.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health

Louisiana Register   Vol. 34, No. 10   October 20, 2008

Document info
Document views1585
Page views1588
Page last viewedMon Dec 05 19:04:15 UTC 2016
Pages359
Paragraphs18243
Words293762

Comments