Current through Register Vol. 48, No. 12, March 22, 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 1 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 1 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 he/she/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 suspension
of the participant's AMD services pending termination, in accordance with the
Participant Agreement. The provider will verbally advise the CCU on the same
day, if possible, but not later than the next work day after the date of the
occurrence. A written report, including, at a minimum, the names of the
participant and the worker and the date of the occurrence, will be submitted by
the provider to the CCU within 2 work days after the date of the occurrence.
The written report may be submitted in person or through mail, facsimile or
electronic means.
3) Upon receipt
of the written report documenting the occurrence of damages/loss of equipment,
the CCU may suspend the participant's AMD services in accordance with Section
240.930. The date
of suspension may be the date of the occurrence of damages to or loss of
equipment.
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, in accordance with Section
240.930.