Kan. Admin. Regs. § 30-10-2 - Standards for participation; nursing facilities and nursing facilities for mental health
(a) As a
prerequisite for participation in the Kansas medical assistance program as a
provider of nursing facility services, each nursing facility and each nursing
facility for mental health shall perform the following:
(1) Provide nursing services;
(2) meet the requirements of Title IV,
subtitle C, part 2 of the federal omnibus budget reconciliation act of 1987,
effective October 1, 1990, which is adopted by reference;
(3) be certified for participation in the
program for all licensed beds by the Kansas department of health and
environment or the federal department of health and human services;
(4) have been operating under a provider
agreement with the agency on June 30, 1994 if the certification is for a
nursing facility for mental health;
(5) submit an application for participation
in the program on forms prescribed by the secretary of social and
rehabilitation services;
(6)
update provided information as required by the application forms;
(7) furnish and allow inspection of any
information that the agency, its designee, or the United States department of
health and human services may request in order to assure proper payment by the
Kansas medical assistance program;
(8) inform all new residents of the
availability of a potential eligibility assessment under the federal spousal
impoverishment law. This assessment shall be completed by the agency or a local
agency office;
(9) ensure that
before a nonemergency admission of each resident, state-mandated preadmission
and referral services have been completed by the Kansas department on aging;
(10) provide nonemergency
transportation; and
(11) submit to
the agency a copy of the resident assessment form for each resident as follows:
(A) Each nursing facility shall complete a
resident assessment form no later than 14 days after admission, no later than
14 days after a significant change in the resident's physical or mental
condition, and in no case less often than once every 12 months. Each nursing
facility shall conduct a review by completing the resident assessment form no
less often than once every three months. Assessments shall be used to monitor
the appropriate level of care.
(B)
Each nursing facility shall submit resident assessment forms, including the
tracking documents, within seven days of completion. Each resident assessment
form shall be sent to the state data base by electronic transmission. A
resident assessment form shall be considered timely submitted upon the receipt
of the electronic submission.
(C)
Penalty for nonsubmission of accurate and timely assessment. If 10 percent or
more of a nursing facility's assessments are not completed and submitted as
required, all further payments to the provider shall be suspended until the
forms have been completed and submitted electronically. Thirty days before
suspending payment to a provider, written notice stating the agency's intent to
suspend payments shall be sent by the agency to the provider. This notice shall
explain the basis for the agency's determination and shall explain the
necessary corrective action that must be taken before payments are reinstated.
(D) Any assessment that cannot be
classified shall be assigned to the lowest classification group.
(b) This regulation
shall be effective on and after May 1, 2002.
Notes
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