Kan. Admin. Regs. § 30-10-7 - Screening, evaluation, reevaluation, and referral for nursing facilities
(a) In accordance
with K.S.A. 39-968 and amendments
thereto, each individual seeking admission to a nursing facility or nursing
facility for mental health providing care under title XIX of the federal social
security act, or seeking referral to home-and community-based services (HCBS),
shall receive a preadmission assessment, evaluation, and referral to all
available community resources, including nursing facilities, before admission.
(b) Each individual choosing to
enter a nursing facility following a preadmission assessment identifying no
need for nursing facility placement shall do so as a private-paying resident.
Medicaid/medikan shall not participate in the cost of care unless and until a
preadmission assessment determines that there is a need for nursing facility
placement.
(c) Continued
eligibility for services at a nursing facility shall be based on each
resident's level of care needs as determined through quarterly reassessments.
When the reassessment indicates that the resident's level of care needs no
longer meet level of care criteria, the resident shall be considered to be in
"resident status review." Payment for services shall continue until the
authorized case manager indicates that more appropriate and less intensive
services are available that meet the resident's health, safety, and social
needs.
(d) Each individual
admitted to a nursing facility for mental health shall be evaluated at least
annually upon the anniversary of admission, and at any other time there may
have been a significant change in the resident's mental condition. This
evaluation shall be made under the supervision of a qualified mental health
professional employed by a participating community mental health center, as
defined in
K.S.A.
59-2946 and amendments thereto, using the
screening tool that may be designated by the secretary, to determine whether it
is appropriate for that individual to remain in a nursing facility for mental
health. Any state-funded individual for whom it is determined that remaining in
the facility is inappropriate may be required to have prepared a plan for that
individual's transfer to appropriate care.
(e) This regulation shall be effective on and
after May 1, 2002.
Notes
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