Current through Reg. 50, No. 187; September 24, 2024
(1) To establish the
Allocation Algorithm Amount for any client who has not previously had a QSI
assessment, a QSI assessment must be completed prior to calculating the
Allocation Algorithm Amount under subsection (2).
(a) The QSI assessor shall arrange for a face
to face meeting with the client and, if available, the client's legal
representative. The WSC shall attend the face to face meeting with consent of
the client or the client's legal representative. If the client or the client's
legal representative is not capable of fully responding to all of the
assessment questions, at least one participant with day-to-day knowledge of the
client's care should participate.
(b) A copy of the completed QSI evaluation
and scores shall be provided to the client and WSC.
(c) Upon receiving QSI results if the client
or his or her legal representative identifies an error in the QSI results the
WSC shall notify the Agency in writing setting forth the details of the error.
At any time, the client or WSC can prepare a statement to be maintained in
client's Central File identifying any concerns with the QSI assessment score or
responses. If any error is identified in the QSI assessment the Agency shall
review the error to determine if any adjustments are needed. The Agency shall
inform the WSC of the result of the review and provide a revised Allocation
Algorithm Amount, if appropriate, within 15 working days of notification of the
error. The WSC shall in turn notify the client or the client's
representative.
(d) The client or
WSC may request a reassessment any time there has been a significant change in
circumstance or condition that would impact any of the questions used as
variables in the algorithm determination. The Agency shall arrange for a
reassessment at the earliest possible time in accordance with the
circumstances, complete the reassessment, and notify the client and WSC of the
results within 60 days of the request for reassessment. This section shall not
be construed to require the Agency to wait for the completion of a QSI in order
to address an emergency situation of the client.
(2) To calculate the Allocation Algorithm for
each client, the following weighted values, as applicable, shall be summed, and
the resulting total then squared:
(a) The base
value for all clients, 27.5720;
(b)
If the client is age 21 to 30, 47.8473;
(c) If the client is age 31 or older,
48.9634;
(d) If the client resides
in supported or independent living, or the client resides in a licensed
facility and does not receive residential habilitation services,
35.8220;
(e) If the client resides
in a licensed residential facility that is designated to provide Standard or
Live-In residential habilitation services, 90.6294;
(f) If the client resides in a licensed
residential facility with a Behavior Focus designation, 131.7576;
(g) If the client resides in a licensed
residential facility with an Intensive Behavior designation,
209.4558;
(h) If the client resides
in a licensed residential facility that is a Comprehensive Transitional
Education Program or provides Special Medical Home Care, 267.0995;
(i) The sum of the scores on the client
questions in the QSI Behavioral Status Subscale (Questions 25-30), multiplied
by 0.4954;
(j) If the client
resides in the family home, the sum of the scores on the client questions in
the QSI Functional Status Subscale (Questions 14-24), multiplied by
0.6349;
(k) If the client resides
in supported or independent living, the sum of the scores on the client
questions in the QSI Functional Status Subscale (Questions 14-24), multiplied
by 2.0529;
(l) If the client
resides in supported or independent living, the sum of the scores on the client
questions in the QSI Behavioral Status Subscale (Questions 25-30), multiplied
by 1.4501;
(m) The client's score
on QSI Question 16, multiplied by 2.4984;
(n) The client's score on QSI Question 18,
multiplied by 5.8537;
(o) The
client's score on QSI Question 20, multiplied by 2.6772;
(p) The client's score on QSI Question 21,
multiplied by 2.7878;
(q) The
client's score on QSI Question 23, multiplied by 6.3555;
(r) The client's score on QSI Question 28,
multiplied by 2.2803;
(s) The
client's score on QSI Question 33, multiplied by 1.2233;
(t) The client's score on QSI Question 34,
multiplied by 2.1764;
(u) The
client's score on QSI Question 36, multiplied by 2.6734; and
(v) The client's score on QSI Question 43,
multiplied by 1.9304.
(3)
The squared result of the sum of the applicable values of paragraphs (2)(a)
through (v), above, then apportioned according to available funding, is the
client's Allocation Algorithm Amount.
(4) This rule shall be reviewed, and if
necessary, renewed through the rulemaking process five years from the effective
date.
Rulemaking Authority
393.501(1),
393.0662 FS. Law Implemented
393.063,
393.0662
FS.
New 7-7-16, Amended
7-1-21.