Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 419.000 - Day Habilitation Center Services
Section 419.405 - Scope of Day Habilitation
Universal Citation: 130 MA Code of Regs 130.419
Current through Register 1531, September 27, 2024
(A) A DH provider must provide the following services.
(1)
Nursing Services and Health
Care Supervision. The DH provider must provide nursing coverage on
site. Nursing services must be provided to meet the needs of each member and
must include the following:
(a)
administration of medications and treatments prescribed by the member's PCP
during the time the member is at the program;
(b) education in hygiene and health
concerns;
(c) coordination of each
member's DHSP with other health care professionals including the NF where the
member resides, if applicable;
(d)
monitoring each member's health status and documenting those findings in the
member's medical record at least quarterly, or more often if the member's
condition requires more frequent monitoring. Nursing must also document any
findings every six months as part of the interdisciplinary team's semi-annual
review;
(e) reporting changes in
the member's condition to the member's PCP;
(f) oversight of the implementation of the
IDT recommendations, therapy treatment as recommended by a licensed therapist
and, as applicable, PCP order; and
(g) coordinated implementation of the PCP's
orders with the member, authorized representative, and DH provider
staff.
(2)
Developmental Skills Training. The DH provider must
provide skills training in the following areas: self-help development,
sensorimotor development, communication development, social development,
independent living development, affective development skills, behavior
development, and wellness.
(3)
Therapy Services. The DH provider must provide therapy
services when recommended by the SNA. Therapy services include
(a) speech/language therapy;
(b) occupational therapy;
(c) physical therapy; and
(d) behavior management.
(4)
Assistance with Activities of
Daily Living (ADL). The DH provider must have sufficient staff at
its site to provide assistance with ADLs to members as necessary.
(5)
Day Habilitation Service
Management. The DH provider must undertake activities that ensure
implementation of the member's day habilitation service plan including required
reviews described in
130
CMR 419.419(C).
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