§ 10 CCR 2505-10-8.405 - ADMISSION PROCEDURES: PROGRAMS FOR THE DEVELOPMENTALLY DISABLED

  1. § 10 CCR 2505-10-8.405.2 - ADMISSION PROCEDURES FOR ICF/IID FACILITIES
  2. § 10 CCR 2505-10-8.405.30 - ADMISSION PROCEDURES FOR HCBS-DD
  3. § 10 CCR 2505-10-8.405.4 - CONTINUED STAY REVIEW PROCEDURES; SERVICES FOR INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
  4. § 10 CCR 2505-10-8.405.50 - GENERAL PROVISIONS

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

.10 PREADMISSION REVIEW

For admission to ICF/IID facilities clients must be evaluated by the Community Centered Board (CCB) in the area where the client resides. If services will be provided through a CCB in another area, the client shall be evaluated by that area's CCB.

The client shall be referred by the CCB to the URC for admission review and to the appropriate County Department of Social/Human Services for determination of Medicaid eligibility. The URC shall not determine admission certification under Medicaid for any intellectually or developmentally disabled client in the absence of a referral from the CCB except for emergency admissions to the Class I facilities.

.11 The CCB evaluation must contain background information as well as currently valid assessments of functional, developmental, behavioral, social, health, and nutritional status to determine if the facility can provide for the client's needs and if the client is likely to benefit from placement in the facility.
.12 CCB ADVERSE RECOMMENDATION

In cases where the CCB declines to recommend placement of a client into an ICF/IID facility, the CCB shall inform the client of the recommendation using the HCBS-DD-21 form. The CCB shall also notify the client or the client's designated representative of the client's right to request a formal URC level of care review.

The client shall have thirty (30) days from the postmark date of the notice to request a formal URC review. If the client requests a formal URC level of care review, the CCB shall submit the required documentation plus any new documentation submitted by the client to the URC. The URC shall review and make a level of care determination in accordance with the admission procedures below.

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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