Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-63 - VENTILATOR-DEPENDENT AND QUALIFIED TRACHEOSTOMY CARE
Section 560-X-63-.04 - Admission Criteria
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Admission is limited to ventilator-dependent and/or qualified tracheostomy residents.
(2) The ventilator-dependent resident and/or qualified tracheostomy resident must meet the current nursing facility level of care criteria established by Medicaid.
(3) All of the following criteria must be present in order for a resident to be considered ventilator-dependent:
(4) The resident will also be considered ventilator-dependent if all of the above requirements were met at admission but the resident is in the process of being weaned from the ventilator. This does not include residents who are only on C-PAP or Bi-PAP devices.
(5) All of the following criteria must be present in order for a resident to be considered for qualified tracheostomy care:
Not withstanding the foregoing, a ventilator-dependent or qualified tracheostomy resident who is in the process of being weaned from being ventilator-dependent or needing qualified tracheostomy treatment shall continue to be considered a qualified resident until the weaning process is completed.
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 483.75