§ 10 CCR 2505-10-8.401 - LEVEL OF CARE SCREENING GUIDELINES

  1. § 10 CCR 2505-10-8.401.1 - GUIDELINES FOR LONG TERM CARE SERVICES (CLASS I SNF AND ICF FACILITIES, HCBS-EBD, HCBS-CMHS, HCBS-BI, Children's HCBS, HCBS-CES, HCBS-DD, HCBS-SLS, HCBS-CHRP, and Long-term Home Health)
  2. § 10 CCR 2505-10-8.401.18 - PRE-ADMISSION SCREENING AND ANNUAL RESIDENT REVIEW (PASRR) AND SPECIALIZED SERVICES FOR INDIVIDUALS WITH MENTAL ILLNESS OR INDIVIDUALS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY (§ 10 CCR 2505-10-8.401.181 to 10 CCR 2505-10-8.401.186)
  3. § 10 CCR 2505-10-8.401.19 - LEVEL I IDENTIFICATION SCREEN
  4. § 10 CCR 2505-10-8.401.20 - LEVEL II PASRR EVALUATION
  5. § 10 CCR 2505-10-8.401.21 - SPECIALIZED SERVICES FOR INDIVIDUALS WITH MENTAL ILLNESS OR INDIVIDUALS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY
  6. § 10 CCR 2505-10-8.401.4 - GUIDELINES FOR INSTITUTIONS FOR MENTAL DISEASES (IMD's)
  7. § 10 CCR 2505-10-8.401.50 - GUIDELINES FOR CLASS V REHABILITATION FACILITIES (Deleted)
  8. Appendix 10 CCR 2505-10-8.400-499 - Age Appropriate Guidelines for the Use of ULTC 100.2 Assessment on Children

Current through Register Vol. 44, No. 18, September 25, 2021

.01 The client must have been found by the URC to meet the applicable level of care guidelines for the type of services to be provided.
.02 The URC shall not make a level of care determination unless the recipient has been determined to be Medicaid eligible or an application for Medicaid services has been filed with the County Department of Social/Human services.
.03 Payment for skilled (SNF) and intermediate nursing home care (ICF) Payment for skilled (SNF) and intermediate nursing home care (ICF) will only be made for clients whose functional assessment and frequency of need for skilled and maintenance services meet the level of care guidelines for long-term care.
.04 Payment for care in an intermediate care facility for individuals with intellectual disabilities (ICF/IID) will only be made for developmentally disabled clients whose programmatic and/or health care needs meet the level of care guidelines for the appropriate class of ICF/IIDs.
.05 Services provided by nursing facilities are available to those clients that meet the guidelines below and are not identified as mentally ill or individuals with an intellectual or developmental disability by the Determination Criteria for Mentally Ill or Individuals with an Intellectual or Developmental Disability in Section 8.401.18.

Notes

38 CR 07, April 10, 2015, effective 5/1/2015 43 CR 23, December 10, 2020, effective 12/30/2020

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