Current through Register Vol. 48, No. 38, September 20, 2024
a) Authorization for the AMD service is
determined based on a participant's need for the service, including the
participant's medication, medical, cognitive and physical needs that indicate
the potential to benefit from the AMD service.
b) To be authorized for the service, the
participant must:
1) meet all of the following
criteria:
A) eligibility for CCP
services;
B) take one or more
medications that necessitate the medications be taken at a set schedule to
avoid complications;
C) have the
potential to benefit from the service, understand the need to take medications,
respond to alerts to take medication and is physically able to take medication
independently from the AMD unit;
D)
designate an assisting party to assist with the AMD unit and medications;
and
E) commit to using the AMD unit
appropriately; and
2)
exhibit at least one of the following issues or diagnoses:
A) a history of non-adherence to treatment,
medication or therapy regimens;
B)
resides alone or lacks assistance from others to assist with regular medication
administration;
C) impaired motor
function that causes difficulty in handling medication receptacles and small
pills;
D) attempts at using less
costly alternatives (e.g., pill reminders, medication organizers with alarms
and telephone reminders/prompts) have failed;
E) recent transition from a more restrictive
care setting, such as a hospital or nursing facility;
F) has a diagnosis of cognitive
impairment;
G) has a diagnosis of
diabetes;
H) has a diagnosis of
congestive heart failure;
I) has a
diagnosis of hypertension;
J) has a
diagnosis of depression/mental illness; or
K) has a diagnosis of cancer.
c) Other criteria may be
developed by the Department to assist in determining what is the most
appropriate AMD system to meet the participant's needs.
d) The participant/authorized representative
and/or the assisting party shall complete documentation acknowledging that the
AMD was installed. Whenever possible, the assisting party should be present
during the AMD installation.
e) The
assisting party must complete documentation requested by the Department
agreeing that they will be responsible for:
1)
administration and oversight of the participant's medications;
2) manually filling or arranging for another
person, who could be the participant, to fill the AMD unit in accordance with
prescribing instructions;
3)
working with the AMD provider to program the dispenser for the initial
medication schedule and subsequent changes;
4) using best efforts to ensure no illegal
substances are placed in the AMD unit;
5) serving as a point of contact for the AMD
provider and taking reasonable and necessary actions based on any notifications
of missed medication doses and other system issues;
6) receiving and understanding the
instructions and demonstration given by the AMD provider for the AMD
equipment;
7) understanding how to
access reports about the unit and medication regimen and contacting the AMD
provider when medication schedules are changed; and
8) providing reasonable advance notice to the
AMD provider, CCU, and participant/authorized representative if unable to
continue acting as the assisting party.
f) A participant/authorized representative
will be responsible for damages to or loss of the AMD equipment unless a law
enforcement report of theft has been filed.
1)
The provider will document the damages/loss of equipment.
2) One documented occurrence of damages/loss
of equipment may be cause for a MOU or termination, in accordance with the
Participant Agreement and Section
240.350.
g) Whenever an assisting party can no longer
meet the obligations set out in subsection (e), it is the responsibility of the
participant/authorized representative to identify a new assisting party and
cooperate with arrangements for that individual to be trained by the AMD
provider. Notification of the change shall be communicated to the AMD provider
and the CCU before the change is made.
h) An assisting party cannot be an individual
or entity providing other services under CCP, such as an in-home service
provider.
i) Failure to have a
current assisting party designation may result in the participant's termination
from the AMD service.
