Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXI - Home and Community-Based Services Waivers
Subpart 3 - Adult Day Health Care Waiver
Chapter 25 - Admission and Discharge Criteria
Section XXI-2501 - Admission Criteria
Universal Citation: LA Admin Code XXI-2501
Current through Register Vol. 50, No. 9, September 20, 2024
A. Admission to the ADHC Waiver Program shall be determined in accordance with the following criteria:
1. meets the target population
criteria as specified in the approved waiver document;
2. initial and continued Medicaid
eligibility;
3. initial and
continued eligibility for nursing facility level of care;
4. justification, as documented in the
approved POC, that the ADHC waiver services are appropriate, cost-effective and
represent the least restrictive environment for the individual; and
5. reasonable assurance that the health,
safety and welfare of the individual can be maintained in the community with
the provision of ADHC waiver services.
B. Failure of the individual to cooperate in the eligibility determination process, POC development, or to meet any of the criteria above shall result in denial of admission to the ADHC waiver.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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