D. ICF/IIDs may temporarily transfer or
discharge residents to other in-state ICF/IIDs or to an evacuation location
identified in their MSDH approved emergency operations plan during declared
public health emergencies and must:
1.
Determine by day fifteen (15) of the evacuation whether or not residents will
be able to return to the evacuating facility within thirty (30) days from the
date of the evacuation.
2. Notify
all residents and/or their responsible parties, receiving facilities, MSDH, the
Department of Mental Health (DMH), and the Division of Medicaid of the
determination of whether or not the residents will be able to return to the
evacuating facility within thirty (30) days. The evacuating facility must
confirm and document that all parties noted above have received their
determination and notice.
a ICF/IIDs
transferring residents to an in-state ICF/IID with an anticipated return to the
evacuating facility within thirty (30) days may bill the Division of Medicaid
for the services that were provided at the receiving facility for a maximum of
thirty (30) days and:
1) Must notify the
resident and, if known, a family member or legal guardian/representative of the
transfer and the transfer location.
2) Must follow all inpatient hospital and
home/therapeutic leave policies regardless of whether the resident is on home
leave, at the evacuating facility or the receiving facility.
3) Are responsible for payment to the
receiving facility for the services that the receiving facility provides to the
evacuated residents.
4) Cannot
include the evacuating residents in their census and must report actual costs
incurred by the evacuating facility for all residents in its care. The
receiving facility must report the actual census, including the evacuated
residents, and the actual costs incurred by the receiving facility. No offset
of the revenue received from the evacuating facility will be required.
5) Cannot include payments made or
transferred to the receiving facility for evacuated residents on the cost
report.
b Evacuating
ICF/IIDs must discharge residents within the thirty (30) day timeframe who will
not return to the evacuating facility within thirty (30) days and must:
1) Notify the resident and, if known, a
family member or legal guardian/representative of the discharge and location to
where the resident is being evacuated.
2) Complete and submit the applicable
communication form, including the discharge date, to the appropriate Division
of Medicaid Regional Office.
3)
Complete and submit to the receiving facility, a discharge summary, including
the discharge date, along with the following medical information including, but
not limited to:
(a) Current physician orders,
(b) Current Individual Support
Plan (ISP),
(c) Psychological
history,
(d) Social history,
(e) Most recent history and
physical,
(f) Current medication
administration record,
(g)
Nutritional assessment, and
(h)
Advanced directives, and
4) Comply with all normal admission
requirements for any subsequent readmissions after the thirty (30) day
timeframe.
c The
ICF/IID receiving evacuated residents who will not return to the evacuated
facility within thirty (30) days must admit the evacuated ICF/IID residents
within the thirty (30) day timeframe and:
1
Must comply with all normal admission requirements.
2 Complete and submit the appropriate
communication form, including the admission date, to the appropriate Division
of Medicaid Regional Office.
3 Is
not required to complete a new ICF/IID preadmission form for the admission of
evacuated residents during the disaster period.
