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 309 - Transfers and Discharges
Section VII-30907 - Mass Transfer of Clients
Universal Citation: LA Admin Code VII-30907
Current through Register Vol. 50, No. 9, September 20, 2024
A. The following provisions shall apply to any mass transfer.
1. ICF/MR Decertification. When DHH/BHSF
determines that an ICF/MR no longer meets state and federal Title XIX
certification requirements, decertification action is taken. Usually an advance
decertification date is set unless clients are in immediate danger.
2. ICF/MR Decertification Notice. On the date
the ICF/MR is notified of its decertification, DHH shall begin notifying
clients, families, responsible parties, and other appropriate agencies or
individuals of the decertification action and of the services available to
ensure an orderly transfer and continuity of care.
3. ICF/MR Closing or Withdrawing from Title
XIX Program. In institutions where an ICF/MR either voluntarily or
involuntarily discontinues its operations or participation in the Medical
Assistance Program, clients, families, responsible parties, and other
appropriate agencies or individuals shall be notified as far in advance of the
effective date as possible to insure an orderly transfer and continuity of
care.
a. If the ICF/MR is closing its
operations, plans shall be made for transfer.
b. If the ICF/MR is voluntarily or
involuntarily withdrawing from Title XIX participation, the client has the
option of remaining in the ICF/MR on a private-pay basis.
4. Payment Limitation. Payments may continue
for clients up to 30 days following the effective date of the ICF/MR's
decertification.
a. There shall be no
payments approved for Title XIX clients admitted after an ICF/MR receives a
notice of decertification.
b. The
payment limitation also applies to Title XIX clients admitted prior to the
decertification notice.
c. Payment
is continued to the ICF/MR for clients certified prior to the decertification
only if the ICF/MR totally cooperates in the orderly transfer of clients to
other Title XIX facilities or other placements of their choice.
NOTES:
The ICF/MR's failure to comply with the transfer team's requests may result in denial of reimbursement during the extension period.
The ICF/MR still retains its usual responsibility during the transfer/discharge process to notify the BHSF Medicaid Eligibility Parish Office promptly of all changes in the client's status.
5. Client Rights. Nothing in the
transfer or discharge plan shall interfere with client's exercise of his
rights.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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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