Indiana Administrative Code
Title 455 - DIVISION OF AGING
Article 1 - AGING
Rule 1 - Nursin
Section 1-10 - PAS team; duties

Universal Citation: 455 IN Admin Code 1-10

Current through September 18, 2024

Authority: IC 12-9.1-2-3

Affected: IC 12-10-12-16; IC 12-10-12-18; IC 12-13-5; IC 12-14

Sec. 10.

(a) The PAS team shall conduct the preadmission assessment pursuant to the policies and procedures prescribed by the division.

(b) The preadmission assessment shall be conducted by the use of the assessment forms developed or approved by the division and shall include the following elements:

(1) Client demographic information.

(2) Present medical condition of client.

(3) Present psychosocial status of client.

(4) Assessment of functional capacity of client.

(5) Present formal or informal services being provided to the client.

(6) Present unmet needs of client.

(7) Formal and informal services that are presently available but are not being provided to the client.

(8) Observations of the PAS team during the on-site visit.

(9) Persons consulted during the screening process.

(10) Client's preference for care.

(11) A preliminary care plan.

(c) Each PAS team member, other than the physician member, shall have one (1) of the following:

(1) A bachelor's degree in social work, psychology, gerontology, sociology, counseling, nursing, or an equivalent degree.

(2) A license as a registered nurse or a bachelor's degree in any field and a minimum of two (2) years of direct service experience with the elderly or persons with disabilities, which includes activities such as the following:
(A) Assessment.

(B) Plan development.

(C) Implementation.

(D) Monitoring.

A master's degree in a related field may substitute for the required experience.

(d) An individual who meet the educational requirement and a minimum of one (1) year of the required experience may qualify provisionally as a PAS team member. In order for any individual to qualify provisionally as a PAS team member, the PAS agency shall have in place a written plan, approved by the division, outlining the manner in which the individual shall achieve the experience needed to become a PAS team member. The written plan shall include the following:

(1) A specific proposal of how the remaining amount of the deficient experience will be satisfied within a time period equal to the amount of remaining experience needed, but not to exceed twelve (12) months.

(2) Arrangements for the provisional PAS team member to meet, at least biweekly, with a supervisor or an individual who meets the qualifications in section 10(c) of this rule, to discuss the provisional PAS team member's care plans.

(3) A statement asserting that the provisional PAS team member's care plans will be reviewed and approved by the supervisor or an individual who meets the qualifications in section 10(c) of this rule.

Provisional PAS team member certification shall be withdrawn by the division if the terms of the written plan are not met at least twelve (12) months from the date of provisional certification.

(e) Designees shall meet the criteria in subsection (c).

(f) After the assessment is completed, the PAS team shall find whether the placement of the individual in a health facility is appropriate, utilizing the guidelines set forth in section 12(c) and 12(d) of this rule.

(g) The vote of the PAS team shall be conducted at the time and place as set by the member of the screening team who represents the prescreening agency. The vote may either be made by a signature at the time of individual contact, based on a review of all necessary data, or the vote may be conducted by telephone. The vote of the physician team member will be made by completion of and signature on the prescribed form. The assessment of the appointee of the prescreening agency, together with the assessments of any other team member who desires to comment, shall be submitted to the office for the prescreening determination designated under IC 12-10-12-18. All screening forms, narrative reports, and other pertinent applicant data shall be submitted to the office with the findings of the PAS team.

(h) If the PAS team finds that placement in a health facility should be denied, then it shall:

(1) list the reason(s) for denial;

(2) list the community services available to the applicant that would be more appropriate than care in a health facility;

(3) detail the cost of those community services, regardless of the source of payment;

(4) detail the cost of placement in a health facility (which shall include the cost of all services, including those costs in addition to per diem that the applicant will require), regardless of the source of payment;

(5) discuss the alternative service plan with the applicant after completion of the assessment;

(6) submit the findings in writing to the office; and

(7) make appropriate referral for case management services if the services are available.

(i) The member of the PAS team who is appointed as the representative of the prescreening agency shall obtain the information for, and prepare the assessment required by IC 12-10-12-16.

Transferred from the Department on Aging and Community Services ( 450 IAC 1-1-10) to the Division of Aging and Rehabilitative Services ( 460 IAC 1-1-10) by P.L. 41-1987, SECTION 23, effective July 1, 1987.

Transferred from the Division of Disability and Rehabilitative Services ( 460 IAC 1-1-10) to the Division of Aging ( 455 IAC 1-1-10) by P.L. 153-2011, SECTION 21, effective July 1, 2011.

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