Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-510 - Intermediate Care Facility for Persons with Intellectual Disabilities Transition Program and Education
Section R414-510-2 - Definitions

(1) "Department" means the Department of Health and Human Services.

(2) "Division of Integrated Healthcare (DIH)" means the division within the department that administers the Medicaid program.

(3) "Division of Licensing and Background Checks (DLBC)" means the entity within the department that licenses foster homes, child care facilities, human services programs, and health facilities.

(4) "Division of Services for People with Disabilities (DSPD)" means the entity within the department that has responsibility to plan and deliver an appropriate array of services and supports to persons with disabilities in accordance with Subsection 26B-6-402(2).

(5) "Education and in-reach (EI) staff" means staff employed by the department to provide individuals with information and resources to help them make informed decisions about where they want to receive their long-term services and supports.

(6) "Guardian" means an individual who is legally authorized to make decisions on an individual's behalf.

(7) "Healthcare decision-making" means decision-making as defined in Subsection 75-2a-103(12).

(8) "Home and community-based services (HCBS)" means person-centered care delivered in the home and community, designed to enable individuals to stay in their homes, rather than living in a facility for care.

(9) "Interested individual designation" means the status of an individual who resides in an ICF and expresses interest in participating in the ICF transition program.

(10) "ICF" means a privately owned intermediate care facility for individuals with intellectual disabilities.

(11) "Length-of-stay" means the length of time an individual has resided continuously in an ICF within the state. The department considers a continuous stay to include a stay in which an individual has a temporary break-in-stay of no more than 31 days.

(12) "Long-term services and supports (LTSS)" means a broad range of Medicaid- reimbursed assistance provided to individuals who experience difficulty completing self-care tasks as a result of an intellectual disability or related condition. LTSS may be provided in facilities or in HCBS settings.

(13) "Representative" means a person, who is not a legal guardian, but is identified as an individual who assists a potential transition program participant.

(14) "Transition worker" means a staff person employed by the department who is assigned to assist an individual who has expressed interest in moving into HCBS.

(15) "Supported decision-making (SDM) tool" means the form completed by EI staff to determine an individual's communication abilities and preferences, and to assist in supporting an individual's current ability to engage in decision-making.

(16) "Unable to determine interest designation" means the status of an individual who cannot clearly express in writing, or by any other means through which a reasonable person would recognize, a preference for where the individual wants to receive LTSS.

(17) "Undecided designation" means the status of an individual who has yet to make a decision about where to receive LTSS.

(18) "Waiver" means the Community Transitions Waiver, a Medicaid waiver program authorized under Subsection 1915(c) of the Social Security Act.