La. Admin. Code tit. 50 § XXI-13704

Current through Register Vol. 50, No. 9, September 20, 2024

Section XXI-13704 - Needs-Based Assessment

A. A uniform needs-based assessment in conjunction with person-centered planning is utilized in the service planning process for the individuals receiving or participating in an OCDD waiver. The results of this assessment activity shall be utilized to determine which OCDD waiver will be offered to the individual during the initial plan of care process.

1. The beneficiary or his/her representative may request a reconsideration and present supporting documentation if he/she disagrees with the specific OCDD waiver offered as a result of the needs based assessment and person-centered planning process. If the beneficiary disagrees with the reconsideration decision, he/she may request a fair hearing through the formal appeals process.

B. The needs-based assessment instrument(s) is designed to evaluate the practical support requirements of individuals with developmental disabilities in daily living, medical and behavioral areas, including:

1. home living;

2. community living;

3. lifelong learning;

4. employment;

5. health and safety;

6. social activities; and

7. protection and advocacy.

C. The needs-based assessment instrument(s) is also used to evaluate the individual's support needs based on information and data obtained from four areas of the person's life, which includes:

1. support needs measurements including:

a. material support;

b. vision related supports;

c. hearing related supports;

d. supports for communicating needs;

e. positive behavior supports;

f. physicians supports;

g. professional supports (e.g., registered nurse, physical therapist, occupational therapist, etc.); and

h. stress and risk factors;

2. living arrangements and program participation including:

a. people living in the home;

b. natural supports in the home;

c. living environments; and

d. supports and service providers;

3. medical and diagnostic information findings including:

a. diagnoses;

b. medications and dosages; and

c. need for relief from pain or illness; and

4. personal satisfaction reports including:

a. agency supports provided at home;

b. work or day programs;

c. living environment;

d. family relationships; and

e. social relationships.

La. Admin. Code tit. 50, § XXI-13704

Promulgated by the Department of Health and Hospitals, Bureau of Health Service Financing and the Office for Citizens with Developmental Disabilities, LR 36:65 (January 2010), amended LR 40:69 (January 2014), Amended by the Department of Health, Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities, LR 432528 (12/1/2017), Amended LR 481546 (6/1/2022).

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