Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part VII - Long Term Care
Subpart 3 - Intermediate Care Facilities for Persons with Intellectual Disabilities
Chapter 303 - Provider Enrollment
Section VII-30305 - Program Enrollment
Universal Citation: LA Admin Code VII-30305
Current through Register Vol. 50, No. 9, September 20, 2024
A. An ICF/MR may enroll for participation in the Medical Assistance Program (Title XIX) when all the following criteria have been met:
1. the ICF/MR has received Facility Need
Review approval from DHH;
2. the
ICF/MR has received approval from DHH/OCDD;
3. the ICF/MR has completed an enrollment
application for participation in the Medical Assistance Program;
4. the ICF/MR has been surveyed for
compliance with federal and state standards, approved for occupancy by the
Office of Public Health (OPH) and the Office of the State Fire Marshal, and has
been determined eligible for certification on the basis of meeting these
standards; and
5. the ICF/MR has
been licensed and certified by DHH.
B. Procedures for Certification of New ICF/MRs. The following procedures must be taken in order to be certified as a new ICF/MR.
1. The ICF/MR shall apply for a
license and certification.
2. DHH
shall conduct or arrange for surveys to determine compliance with Title XIX,
Title VI (Civil Rights), Life Safety, and Sanitation Standards.
3. Facilities must be operational a minimum
of two weeks (14 calendar days) prior to the initial certification survey.
Facilities are not eligible to receive payment prior to the certification date.
a.
Operational is defined as
admission of at least one client, completion of functional assessment and
development of individual program plan for each client; and implementation of
the program plan(s) in order for the facility to actually demonstrate the
ability, knowledge, and competence to provide active treatment.
b. Fire and health approvals must be obtained
from the proper agencies prior to a client's admission to the
facility.
c. The facility must
comply with all standards of the State of Louisiana licensing requirements for
residential care providers.
d. A
certification survey will be conducted to verify that the facility meets all of
these requirements.
4. A
new ICF/MR shall be certified only if it is in compliance with all conditions
of participation found in 42 CFR 442 and
42 CFR
483.400 et seq.
5. The effective date of certification shall
be no sooner than the exit date of the certification survey.
C. Certification Periods
1. DHH may certify an ICF/MR which fully
meets applicable requirements for a maximum of 12 months.
2. Prior to the agreement expiration date,
the provider agreement may be extended for up to two months after the agreement
expiration date if the following conditions are met:
a. the extension will not jeopardize the
client's health, safety, rights and welfare; and
b. the extension is needed to prevent
irreparable harm to the ICF/MR or hardship to its clients; or
c. the extension is needed because it is
impracticable to determine whether the ICF/MR meets certification standards
before the expiration date.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and 42 CFR 483.440.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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