Minn. R. agency 144, ch. 4656, REVIEW OF CARE AND CLASSIFICATION OF RESIDENTS IN FACILITIES PARTICIPATING IN THE MEDICAL ASSISTANCE PROGRAM, pt. 4656.0020

Current through Register Vol. 49, No. 29, 2025
Part 4656.0020 - DEFINITIONS
Subpart 1.Applicability.

As used in parts 4656.0010 to 4656.0090, the following terms have the meanings given them.

Subp. 2.Assessment form.

"Assessment form" means the form developed by the department's quality assurance and review program and used for performing resident assessments.

Subp. 3.Certified.

"Certified" means authorized to participate in the medical assistance program under United States Code, title 42, sections 1396 to 1396p as amended through July 18, 1984. Before certification, facilities must be licensed by the state under parts 4655.0090 to 4655.9900, and must also meet any additional requirements established by certification standards under the Social Security Act.

Subp. 4.Department.

"Department" means the Minnesota Department of Health.

Subp. 5.Guideline for Isolation Precautions in Hospitals.

"Guideline for Isolation Precautions in Hospitals" means the six guidelines written by Julia S. Garner, RN, and Bryan P. Simmons, MD, reprinted by the United States Department of Health and Human Services, Public Health Service, Center for Disease Control, from Infection Control July/August 1983 (Special Supplement); 4 (suppl): pages 245 to 325. The guidelines are incorporated by reference. They are available at the State Law Library, 25 Rev. Dr. Martin Luther King Jr. Blvd., Saint Paul, MN 55155. This material is not subject to frequent change.

Subp. 6.Medical plan of care.

"Medical plan of care" means documentation signed by the resident's physician which includes the resident's primary diagnoses, secondary diagnoses, orders for treatments and medications, rehabilitation potential, rehabilitation procedures if ordered, clinical monitoring procedures, and discharge potential.

Subp. 7.Private paying resident.

"Private paying resident" means a nursing home or boarding care home resident who is not a medical assistance recipient.

Subp. 8.Quality assurance and review or QA&R.

"Quality assurance and review" or "QA&R" means the program established under Minnesota Statutes, sections 144.072 and 144.0721.

Subp. 9.Resident.

"Resident" means an individual residing in a facility certified for participation in the medical assistance program under United States Code, title 42, sections 1396 to 1396p as amended through July 18, 1984, unless otherwise provided in parts 4656.0010 to 4656.0090.

Subp. 10.Resident class.

"Resident class" means each of the 11 categories established in part 9549.0058.

Subp. 11.Resident plan of care.

"Resident plan of care" for residents of nursing facilities means the comprehensive care plan as set forth in Code of Federal Regulations, title 42, section 483.20, paragraph (d), as amended through October 1, 1992.

Subp. 12.Resident record.

"Resident record" means the entire record of a resident compiled by the nursing home or boarding care home. The resident record must include the following:

A. the admission record;
B. the medical plan of care;
C. the resident plan of care;
D. documentation from services providing care to the resident;
E. reports of any diagnostic testing, consultation, and other services;
F. a copy of any transfer data provided to another health care facility; and
G. a discharge summary.

Minn. R. agency 144, ch. 4656, REVIEW OF CARE AND CLASSIFICATION OF RESIDENTS IN FACILITIES PARTICIPATING IN THE MEDICAL ASSISTANCE PROGRAM, pt. 4656.0020

12 SR 239; 18 SR 2584

Statutory Authority: MS s 144.072; 256B.502