048-45 Wyo. Code R. § 45-6

Current through April 27, 2019

Section 45-6 - Standards for all Providers

(a) Consistent with the provisions of this chapter, providers shall:

• (i) Protect participants from abuse, neglect, mistreatment, intimidation, and exploitation;

• (ii) Treat participants with consideration, respect, and dignity;

• (iii) Honor participants' preferences, interests, and goals;

• (iv) Provide participants with daily opportunities to make choices and participate in decision making;

• (v) Provide and access activities that are meaningful and functional for each participant;

• (vi) Direct services toward maximizing the growth and development of each participant for maximum community participation and citizenship;

• (vii) Provide services in the most appropriate, least restrictive, most integrated environment;

• (viii) Encourage participants to express their wishes, desires, and needs;

• (ix) Protect and promote the health, safety, and well-being of each participant;

• (x) Design services to meet the needs of all participants served by the provider; and

• (xi) Establish and implement written policies and procedures that :
  • (A) Are available to staff, participants, and the general public;
  • (B) Are updated or revised as needed by rule or policy changes;
  • (C) Are reviewed at least annually with employees; and
  • (D) Describe the provider's operation and how systems are set up to meet participants' needs.

(b) Before providing services to a participant, the provider shall gather and review referral information regarding the participant so, to the greatest extent possible, the provider is aware of the participant's preferences, strengths, and needs. The provider shall use this information to:

• (i) Make a determination as to whether the provider is capable of providing services to meet the participant's needs;

• (ii) Consider the safety of all participants who the provider serves in the decision to accept new participants to service or the location for the services; and

• (iii) Consider whether the provider has the capacity, commitment, and resources necessary to provide supports to the participant served.

• (iv) The provider shall not serve a participant if the provider cannot reasonably assure the participant, legally authorized representative, and case manager that it has the ability to meet the participant's needs.

(c) The provider shall orient, train, and manage staff with the skills necessary to meet the needs of participants in their services, and be able to respond to emergencies.

(d) The provider shall facilitate opportunities for all participants to receive services consistent with the needs and preferences of the participant.

(e) The provider shall develop a process for detecting and preventing abuse, neglect, exploitation, and intimidation, and handling allegations of abuse, neglect, exploitation, and intimidation in accordance with state and federal statutes and rules.

(f) The provider shall, at all times, maintain documentation to demonstrate sufficient staff provide services, supports, and supervision to meet the needs of each participant per the participant's individualized plan of care.

(g) The provider shall implement reasonable and appropriate policies and procedures to comply with the standards, specifications, and requirements of this chapter. Compliance with this provision does not permit or excuse a violation of any standard, specification, or requirement of this chapter. A provider may change its policies or procedures at any time, provided that the changes are documented, implemented, and maintained in accordance with the standards, specifications, and requirements of these rules.

(h) Providers that subcontract for services shall be responsible for assuring that the subcontractors meet all applicable requirements, qualifications, and standards for the services being provided. Failure of a provider who subcontracts to assure that the subcontractor meets all applicable requirements and standards may result in revocation of the provider's certification pursuant to Section 30 of this Chapter.

048-45 Wyo. Code R. § 45-6

Amended, Eff. 6/21/2017.

Amended, Eff. 7/26/2018.