Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1737 - SCOPE AND CONTENTS OF THE FEE FOR SERVICE MEDICAL ASSISTANCE PROGRAM
Subchapter 4 - LONG TERM INSTITUTIONAL SERVICES
Section 17-1737-30 - Content of ICF-MR services
Universal Citation: HI Admin Rules 17-1737-30
Current through November, 2024
(a) Long-term institutional services shall be provided by freestanding or distinct part ICF-MR facilities that shall meet the eligibility requirements specified in chapters 17-1736 and 17-1739.
(b) ICF-MR facilities shall provide inpatient or authorized community-based services designed primarily for the treatment and rehabilitation of the mentally retarded or persons with related conditions.
(c) ICF-MR services shall include but not be limited to:
(1) Twenty-four hour supervision
of mentally retarded individuals or persons with related conditions in a
protected residential setting;
(2)
A continuous active treatment program which includes aggressive, consistent
implementation of a program of specialized and generic training, treatment
health services and related services described in this subsection, that is
directed towards:
(A) The acquisition of the
behaviors necessary for the client to function with as much self-determination
and independence as possible; and
(B) The prevention or deceleration of
regression or loss of current optimal functional status.
Active treatment does not include services to maintain generally independent clients who are able to function with little supervision or in the absence of a continuous active treatment program;
(3) Interventions to manage
inappropriate client behavior that are employed with sufficient safeguards and
supervision to ensure that the safety, welfare and civil and human rights of
clients are adequately protected;
(4) Sufficient direct care staff to manage
and supervise clients in accordance with their individual program plans, to
respond to injuries and symptom of illness and to handle emergencies in each
defined residential living unit;
(5) Preventive and general medical care as
well as annual physical exams of each client that include:
(A) Evaluation of vision and
hearing;
(B) Immunizations, using
as a guide the recommendations of the Public Health Service Advisory Committee
on Immunization Practices or of the Committee on the Control of Infectious
Diseases of the American Academy of Pediatrics;
(C) Routine screening lab exams and special
studies; and
(D) TB control,
appropriate to the facility's population, and in accordance with the
recommendations of the American College of Chest Physicians or the section of
diseases of the American Academy of Pediatrics, or both;
(6) Licensed nursing services sufficient to
care for clients health needs, including those clients with medical care
plans;
(7) Provision of or
arrangements for comprehensive dental diagnostic services and comprehensive
dental treatment services that include:
(A)
The availability of emergency dental treatment on a twenty-four hours a day
basis by a licensed dentist; and
(B) Dental care needed for relief of pain and
infections, restoration of teeth, and maintenance of dental health;
(8) Provision of or arrangements
for routine and emergency drugs and biologicals that are administered in
compliance with physician's orders;
(9) At least three meals a day that comprise
a nourishing, well-balanced diet including modified and specially prescribed
diets;
(10) Physician services
available twenty-four hours a day to:
(A)
Develop and maintain, in coordination with licensed nursing personnel, a
medical care plan of treatment for a client if the physician determines that an
individual client requires twenty-four hours licensed nursing care;
and
(B) Participate in establishing
an initial individual program plan for a newly admitted client; and
(11) Provision of necessary
services, including emergency and other health care through contractual
agreements which shall:
(A) Stipulate the
responsibilities, functions, objectives, service fee, and other terms agreed to
by the ICF-MR and the provider; and
(B) Provide that the ICF-MR is responsible
for assuring that the outside services meet the standards for quality of
services.
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