Section 17-1439-9 - Utilization control(a) Contractors shall only serve eligible clients, whose care needs may be met by the provision of home and community-based services.(b) Each evaluation, IHP, certification and recertification statement shall be written and entered in the client's record.(c) Home and community-based service contractors shall meet the following conditions: (1) The interdisciplinary team shall develop within one week a written individual habilitation plan which prescribes H&CBS services, specifying the goals, frequency and type of providers;(2) The contractor shall implement the individual habilitation plan;(3) A QMRP member of the interdisciplinary team shall review monthly, each client's individual habilitation plan to: (A) Determine whether the client's needs are being met; and(B) Determine the effectiveness of the services;(4) An interdisciplinary team shall evaluate, at least annually, the following: (A) Each client's individual habilitation plan of care;(B) The effectiveness of the individual habilitation plan of care objectives; and(C) Assess the client's continuing need for home and community-based services.(d) Home and community-based service contractors shall require of a physician a written certification statement that the client requires home and community based services as follows: (1) Admission certification shall be provided by a physician on admission;(2) A recertification statement shall be provided by the physician at least annually after the admission certification until discharge from home and community-based services;(3) The written certification and recertification statements shall be placed in each clients active medical record; and(4) The written certification and recertification statements shall clearly indicate the client's need for home and community-based services, and shall include: (A) A physician's signature or initials clearly identified with the acronym "M.D." for medical doctor, or "D.O." for doctor of osteopathy; and(B) The date of certification or recertification by a physician at the time certification or recertification is signed by the physician.[Eff 6/29/92] (Auth: HRS §34 6-14) (Imp: 4 2 C.F.R. §§440.180, 435.232 )