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3.be written in terminology which all center personnel can understand;
4.list the identified problems and needs of the participant for which intervention is indicated as identified in assessments, progress notes and medical reports;
5.propose a reasonable, measurable short-term goal for each problem/need;
6.contain the necessary elements of the center's self administration of medication plan, if applicable;
7.use the strengths of the participant in developing approaches to problems;
8.specify the approaches to be used for each problem and that each approach is appropriate to effect positive change for that problem;
9.identify the staff member responsible for carrying out each approach;
10.project the resolution date or review date for each problem;
11.specify the frequency of each approach/service;
12.contain a sufficient explanation of why the participant would require 24-hour care were he/she not receiving ADHC services;
a. – b.Repealed.
13.include the number of days and time of scheduled attendance each week;
14.include discharge as a goal; and
15.be kept in the participant’s record used by direct care staff.

A.16 - D.12.Repealed.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 30:2036 (September 2004), amended by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 34:2162 (October 2008).

§2305.Medical Certification Application Process

Repealed.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of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:2038 (September 2004), repealed by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 32:2257 (December 2006), LR 34:2163 (October 2008).

§2307.Interdisciplinary Team

Repealed.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of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 30:2039 (September 2004), repealed by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 34:2163 (October 2008).

§2309.Interdisciplinary Team Assessments

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 30:2039 (September 2004), amended by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 32:2257 (December 2006), repealed LR 34:2163 (October 2008).

§2311.Staffings

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 30:2040 (September 2004), repealed by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 34:2163 (October 2008).

§2313.Plan of Care

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 30:2040 (September 2004), repealed by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 34:2163 (October 2008).

§2315.Progress Notes

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 30:2040 (September 2004), repealed by the Department of Health and Hospitals, Office of Aging and Adult Services, LR 34:2163 (October 2008).

Chapter 25.Admission and Discharge Criteria

§2501.Admission Criteria

A.Admission to the ADHC Waiver Program shall be determined in accordance with the following criteria:

1.initial and continued Medicaid financial eligibility;
2.initial and continued eligibility for a nursing facility level of care;
3.justification, as documented in the approved CPOC, that the ADHC Waiver services are appropriate, cost-effective and represent the least restrictive environment for the individual; and
4.assurance that the health, safety and welfare of the individual can be maintained in the community with the provision of ADHC Waiver services.

B.Failure of the individual to cooperate in the eligibility determination process or to meet any of the criteria in §2501.A. above will result in denial of admission to the ADHC Waiver.

C. - D.13.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 30:2040 (September 2004), amended by the Department Of Hospitals, Office of Aging and Adult Services, LR 34:2163 (October 2008).

§2503.Denial or Discharge Criteria

A.Admission shall be denied or the recipient shall be discharged from the ADHC Waiver Program if any of the following conditions are determined:

1.The individual does not meet the criteria for Medicaid financial eligibility.
2.The individual does not meet the criteria for a nursing facility level of care.
3.The recipient resides in another state or has a change of residence to another state.
4.Continuity of services is interrupted as a result of the recipient not receiving and/or refusing ADHC Waiver

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

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