455 Ind. Admin. Code 3-1-8

Current through May 29, 2024

Section 455 IAC 3-1-8 - General service standards

Authority: IC 12-9.1-2-3

Affected: IC 12-15

Sec. 8.

(a) A provider shall provide assisted living Medicaid waiver services only to persons approved by the office of Medicaid policy and planning to receive assisted living Medicaid waiver services.

(b) A provider shall:

(1) promote the ability of recipients to have control over their time, space, and lifestyle to the extent that the health, safety, and well-being of other recipients is not disturbed;

(2) promote the recipient's right to exercise decision making and self-determination to the fullest extent possible;

(3) provide services for recipients in a manner and in an environment that encourages maintenance or enhancement of each recipient's quality of life and promotes the recipient's:

(A) privacy;

(B) dignity;

(C) choice;

(D) independence;

(E) individuality; and

(F) decision making ability; and

(4) provide a safe, clean, and comfortable homelike environment allowing recipients to use their personal belongings to the extent possible.

(c) The provider shall complete a service plan within thirty (30) days of move-in or the recipient's receipt of assisted living Medicaid waiver services.

(d) The provider shall ensure the service plan:

(1) includes recognition of the recipient's capabilities and choices and defines the division of responsibility in the implementation of services;

(2) addresses, at a minimum, the following elements:

(A) assessed health care needs;

(B) social needs and preferences;

(C) personal care tasks; and

(D) limited nursing and medication services, if applicable, including frequency of service and level of assistance;

(3) is signed and approved by:

(A) the recipient;

(B) the provider;

(C) the licensed nurse;

(D) the case manager; and

(4) includes the date the plan was approved.

(e) The service plan shall support the principles of dignity, privacy, and choice in decision making, individuality, and independence.

(f) The provider shall provide the recipient, case manager, and area agency on aging with a copy of the service plan and place a copy in the recipient's record.

(g) The provider shall update the plan when there are changes in the services the recipient needs and wants to receive. At a minimum, the provider shall review the service plan every ninety (90) days for assisted living recipients.

455 IAC 3-1-8

Division of Aging; 455 IAC 3-1-8; filed Apr 8, 2004, 3:15 p.m.: 27 IR 2493; readopted filed May 27, 2010, 10:11 a.m.: 20100609-IR-460100196RFA

Readopted filed 5/10/2016, 11:21 a.m.: 20160608-IR-455160133RFA

Readopted filed 11/4/2022, 4:00 p.m.: 20221130-IR-455220277RFA

Transferred from the Division of Disability and Rehabilitative Services (460 IAC 8-1-8) to the Division of Aging (455 IAC 3-1-8) by P.L. 153-2011, SECTION 21, effective July 1, 2011.