Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-63 - VENTILATOR-DEPENDENT AND QUALIFIED TRACHEOSTOMY CARE
Section 560-X-63-.01 - Definitions

Universal Citation: AL Admin Code R 560-X-63-.01

Current through Register Vol. 43, No. 02, November 27, 2024

(1) Nursing Facility - An institution which is licensed by the Alabama State Board of Health as a nursing facility and is primarily engaged in providing nursing care and related services for residents who require medical and nursing care, rehabilitation services for the rehabilitation of injured, disabled or sick persons, or on a regular basis health related care and services to individuals who because of their mental or physical condition require care and services which may be made available to them only through institutional facilities. A facility may not include any institution that primarily is dedicated to the care and treatment of mental disease.

(2) Qualified Ventilator-Dependent and/or Tracheostomy Care Resident - A resident that is either determined to be:

(a) Ventilator-Dependent Resident - A resident who is on mechanical ventilation necessary to sustain life and who requires the care by and monitoring of a Registered Nurse or Licensed Practical Nurse 24 hours a day and routine interventions by a duly licensed respiratory therapist; or

(b) Qualified Tracheostomy Resident - A resident who (i) has a tracheostomy, (ii) receives oxygen therapy, and (iii) requires the care and monitoring of a Registered Nurse or Licensed Practical Nurse 24 hours a day and routine interventions by a duly licensed respiratory therapist. This definition does not cover a resident with a tracheostomy who receives only PRN monitoring or suctioning.

(3) Qualified Tracheostomy Services - Services provided to a qualified tracheostomy resident.

(4) Ventilator-Dependent Services - Services provided to a ventilator-dependent resident.

Author: Marilyn F. Chappelle, Director, Long Term Care Division

Statutory Authority: State Plan; Title XIX, Social Security Act; and 42 CFR Section 401, et seq., Section 483.74.

Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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