Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1439 - HOME AND COMMUNITY BASED SERVICES FOR THE DEVELOPMENTALLY DISABLED/MENTALLY RETARDED
Section 17-1439-9 - Utilization control
Universal Citation: HI Admin Rules 17-1439-9
Current through August, 2024
(a) Contractors shall only serve eligible clients, whose care needs may be met by the provision of home and community-based services.
(b) Each evaluation, IHP, certification and recertification statement shall be written and entered in the client's record.
(c) Home and community-based service contractors shall meet the following conditions:
(1) The interdisciplinary team shall develop
within one week a written individual habilitation plan which prescribes
H&CBS services, specifying the goals, frequency and type of
providers;
(2) The contractor shall
implement the individual habilitation plan;
(3) A QMRP member of the interdisciplinary
team shall review monthly, each client's individual habilitation plan to:
(A) Determine whether the client's needs are
being met; and
(B) Determine the
effectiveness of the services;
(4) An interdisciplinary team shall evaluate,
at least annually, the following:
(A) Each
client's individual habilitation plan of care;
(B) The effectiveness of the individual
habilitation plan of care objectives; and
(C) Assess the client's continuing need for
home and community-based services.
(d) Home and community-based service contractors shall require of a physician a written certification statement that the client requires home and community based services as follows:
(1) Admission certification shall be provided
by a physician on admission;
(2) A
recertification statement shall be provided by the physician at least annually
after the admission certification until discharge from home and community-based
services;
(3) The written
certification and recertification statements shall be placed in each clients
active medical record; and
(4) The
written certification and recertification statements shall clearly indicate the
client's need for home and community-based services, and shall include:
(A) A physician's signature or initials
clearly identified with the acronym "M.D." for medical doctor, or "D.O." for
doctor of osteopathy; and
(B) The
date of certification or recertification by a physician at the time
certification or recertification is signed by the physician.
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