Current through Register Vol. 46, No. 39, September 25, 2024
(a) This Part supersedes the regulations on
classes of operating certificates in Part 70 of this Title.
(b) For the purposes of this Part, a class
means a category of facilities or services subject to issuance of an operating
certificate and distinguished by the needs of individuals served, services
provided, staffing, and, for facilities, the premises of the
facility.
(c) For the purposes of
this Part, an operating certificate means a document pertinent to the
appropriate class of facility or service that conveys authorization by OPWDD of
a provider of services to operate specific facilities or to deliver certain
services identified on or as an attachment to such document.
(d) Classes of operating certificates issued
by OPWDD:
(1) Community residence. An OPWDD
certified community residence is a residential facility that provides health
and habilitation services and supervision for individuals with intellectual or
developmental disabilities. Community residences include three basic types of
facilities: Supervised and Supportive Community Residences (CRs) and
Individualized Residential Alternatives (IRAs). (IRAs are further categorized
by capacity and conversion status.)
(2) Individualized Residential
Alternative/Free Standing Respite (IRA/FSR). An OPWDD certified IRA/FSR is a
residential facility that provides respite services, including health care and
super vision, for individuals with intellectual or developmental disabilities.
An IRA/FSR is certified to house and provide services to a certain number of
individuals on a time-limited basis.
(3) Intermediate Care Facility for
Individuals with Intellectual Disabilities (ICF/IID). An ICF/IID is a
residential facility that provides comprehensive care, supervision,
habilitation, and treatment for individuals with intellectual and developmental
disabilities, that must be operated in compliance with federal ICF/IID
regulations in 42 CFR 483 and applicable regulations of this Title. (Note:
Certain ICFs/IID are certified by the State Department of Health (DOH); this
Part does not apply to those ICFs/IID that are certified by DOH.)
(4) Private school. An OPWDD certified
private school is a residential facility that provides health care,
supervision, and training and/or education services for individuals with
intellectual or developmental disabilities. Private schools include Residential
Schools and Integrated Residential Communities.
(5) Family Care Home (FCH). An OPWDD
certified family care home is a private home that provides health and
habilitation services to individuals with intellectual or developmental
disabilities.
(6) Specialty
hospital. An OPWDD certified Specialty Hospital is a facility that provides
residential care and services by or under the direction of a physician to
individuals with intellectual or developmental disabilities who require
specialized services to address significant health care needs.
(7) Outpatient/Non-residential facility. An
OPWDD certified outpatient/non-residential facility may provide outpatient or
nonresidential examination, diagnosis, care, treatment, habilitation, or
training services for individuals with intellectual or developmental
disabilities. Outpatient/Non-residential facilities include:
(i) Day services facilities, including but
not limited to, facilities certified to provide Day Habilitation, Day
Treatment, Day Training (including Sheltered Workshops), and Site-based
Prevocational Services; and
(ii)
Article 16 Clinics.
(8)
Diagnostic and research clinic An OPWDD certified Diagnostic and Research
Clinic is a facility that provides comprehensive behavioral and
medically-related assessment and diagnostic services to individuals with
intellectual or developmental disabilities, or individuals suspected of having
intellectual or developmental disabilities.
(9) Home and Community Based Services (HCBS).
OPWDD certified HCBS waiver services include an array of supports and services,
including habilitation services that enable individuals with intellectual or
developmental disabilities to live and receive services in community settings
as an alternative ICF placement. HCBS waiver services may be provided in
certified and non-certified settings, but the HCBS waiver services and the
certified facilities have separate operating certificates.
(i) HCBS waiver services provided in
certified facilities in clude but are not limited to:
(a) Residential Habilitation
services;
(b) Day Habilitation
services;
(c) Site-based
Prevocational services; and
(d)
Respite services.
(ii)
HCBS waiver services provided in non-certified settings include but are not
limited to:
(a) Day Habilitation (other than
facility based day habilitation);
(b) Community Habilitation Services
(c) Pathway to Employment;
(d) Community Prevocational
Services;
(e) Supported Employment;
and
(f) Respite (other than
facility based respite).
(iii) HCBS waiver, other services and
supports, include but are not limited to:
(a)
Plan of Care Support Services (a form of service coordination);
(b) Adaptive Technology;
(c) Environmental Modification;
(d) Fiscal Intermediary (FI) Services. FI
services are necessary for administering self-directed services, including but
not limited to the following other HCBS services and supports:
(1) Support Brokerage;
(2) Community Transition Services;
(3) Individual Directed Goods and Services;
and
(4) Live-in
Caregiver.
(10) Services approved in a Medicaid state
plan that are designated for individuals with intellectual or developmental
disabilities.
(i) Such Medicaid state plan
services include:
(a) Comprehensive Health
Home Care Management;
(b) Basic
Home and Community Based Services (HCBS) Plan Support; and
(c) Crisis Services for Individuals with
Intellectual and/or Developmental Disabilities.