§ 10 CCR 2505-10-8.402 - ADMISSION PROCEDURES FOR LONG-TERM CARE
- § 10 CCR 2505-10-8.402.10 - ADMISSION PROCEDURES FOR CLASS I NURSING FACILITIES
- § 10 CCR 2505-10-8.402.30 - ADMISSION PROCEDURES FOR HOME AND COMMUNITY BASED SERVICES
- § 10 CCR 2505-10-8.402.40 - ADMISSION TO NURSING FACILITY WITH REFERRAL FOR COMMUNITY SERVICES
- § 10 CCR 2505-10-8.402.50 - DENIALS (ALL TARGET GROUPS)
- § 10 CCR 2505-10-8.402.60 - CONTINUED STAY REVIEWS: SKILLED AND MAINTENANCE SERVICES
Current through Register Vol. 44, No. 18, September 25, 2021
In order to promote the most appropriate placement of individuals with intellectual or developmental disabilities when skilled or maintenance services are sought, the physician shall, unless an emergency admission is required, refer the client to theCommunity Centered Board (CCB) where the client resides. Class I services shall be authorized by the URC only when the following requirements have been met:
Referrals by physicians of individuals with intellectual or developmental disabilities for Class I services without review by the CCB will not be certified by the URC for Medicaid reimbursement. Clients for whom ICF/IID or HCBS-DD services are appropriate as defined in Section 8.401.18, subject to the physician's and the client's or the client's designated representative concurrence, shall be referred immediately to the URC and to the appropriate Community Centered Board under the provisions at Section 8.405.
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