10 Colo. Code Regs. § 2505-10-8.508
Current through Register Vol. 47, No. 16, August 25, 2024
Section 10 CCR 2505-10-8.508 - [Effective 9/14/2024] CHILDREN'S HABILITATION RESIDENTIAL PROGRAM8.508.103MEDICATION ADMINISTRATIONA. If medications are administered during the course of HCBS-CHRP service delivery by the waiver service provider, the following shall apply: 1. Medications must by prescribed by a Licensed Medical Professional. Prescriptions and/or orders must be kept in the Client's record.2. HCBS-CHRP waiver service providers must complete on-site monitoring of the administration of medications to waiver participants including inspecting medications for labeling, safe storage, completing pill counts, reviewing and reconciling the medication administration records, and interviews with staff and participants.3. Specialized Group Facilities, Residential Child Care Facilities, Licensed Child Care Facilities (less than 24 hours) must ensure compliance with the Colorado Department of Human Services rules regarding medication administration practices at 12 CCR 2509-8; Section 7.702.52 (C) (2021).4. Foster Care Homes and Kinship Foster Care Homes must ensure compliance with the Colorado Department of Human Services rules regarding medication administration practices at 12 CCR 2509-8; Section 708.41.J.5. Persons administering medications shall complete a course in medication administration through an approved training entity approved by the Colorado Department of Public Health and Environment.6. Host Homes and Service Providers contracting with Host Home Providers must comply with the requirements for the use of medication administration at § 8.609.6.D.1-8 for Clients receiving Habilitation services age eighteen (18)- twenty (20).8.508.110MAINTENANCE OF CASE RECORDSA. CMAs shall maintain all documents, records, communications, notes and other materials for all work performed related to HCBS-CHRP. CMAs shall maintain records for six (6) years after the date a Client discharges from a waiver program.8.508.121REASSESSMENT AND REDETERMINATION OF ELIGIBILITYA. The CMA shall conduct a Level of Care Eligibility Determination and redetermine or confirm a Client's eligibility for the HCBS-CHRP waiver, at a minimum, every twelve (12) months.B. The CMA shall conduct a LOC Screen to redetermine or confirm a Client's individual needs, at a minimum, every twelve (12) months.C. The CMA shall verify that the child or youth remains Medicaid Eligible at a minimum, every twelve (12) months.8.508.140DISCONTINUATION FROM THE HCBS- CHRP WAIVERA. A Client shall be discontinued from the HCBS-CHRP waiver when one of the following occurs: 1. The Client no longer meets the criteria set forth in Section 8.508.40;2. The costs of services and supports provided in the community exceed the Cost Effectiveness exceeds ICF-IID costs;3. The Client enrolls in another HCBS waiver program or is admitted for a long-term stay beyond 30 consecutive days in an Institution; or4. The Client reaches his/her 21st birthday.5. The Client does not receive a waiver service during a full one-month period.8.508.160SERVICE PROVIDERSA. Service providers for habilitation services and services provided outside the Family home shall meet all of the certification, licensing and quality assurance regulations related to their provider type (Respite Service providers that provide community connector, movement therapy, massage therapy, hippotherapy, intensive support, and transition support in the family home must:1. Meet the required qualifications as defined in the federally approved HCBS-CHRP waiver.2. Maintain and abide by all the terms of their Medicaid Provider Agreement and section 8.130.3. Comply with all the provisions of this Section 8.508; and4. Have and maintain any required state licensure.B. Service providers shall maintain liability insurance in at least such minimum amounts as set annually by the Department.C. A Family member may not be a Service Agency for another Family member. A Family member may be reimbursed for certain services as approved in the waiver.D. Service Providers shall not discontinue or refuse services to a Client unless documented efforts have been made to resolve the situation that triggers such discontinuation or refusal to provide services.E. Service Providers must have written policies that address the following: 1. Access to duplication and dissemination of information from the child's or youth's records in compliance with all applicable state and federal privacy laws.2. How to response to alleged or suspected abuse, mistreatment, neglect, or exploitation. The policy must require immediate reporting when observed by employees and contractors to the agency administrator or designee and include mandatory reporting requirements pursuant to Sections 19-3-304 and 18-6.5-108, C.R.S.3. The use of restraints, the rights of Client's, and rights modifications pursuant to sections 8.508.101 and 8.508.102.4. Medication administration pursuant to Section 8.508.103.5. Training employees and contractors to enable them to carry out their duties and responsibilities efficiently, effectively and competently. The policy must include staffing ratios that are sufficient to meet the individualized support needs of each Client receiving services.6. Emergency procedures including response to fire, evacuation, severe weather, natural disasters, relocation, and staffing shortages.F. Service Provides must maintain records to substantiate claims for reimbursement in accordance with Department regulations and guidance.G. Service Providers must comply with all federal and state program reviews and financial audits of HCBS-CHRP waiver services.H. Service Providers must comply with requests by the Department to collect, review, and maintain individual or agency information on the HCBS-CHRP waiver.I. Service Providers must comply with requests by the CMA to monitor service delivery through Targeted Case Management.46 CR 07, April 10, 2023, effective 4/30/202346 CR 13, July 10, 2023, effective 7/30/202347 CR 16, August 25, 2024, effective 9/14/2024