There shall be admission policies which address the
following:
1. No resident shall be
admitted or retained who is in need of greater services than the facility can
provide. (II, III)
2. Residents
shall be admitted only on a written order signed by a physician. (II,
III)
3. A preplacement visit shall
be completed prior to admission, except in case of an emergency admission or
readmission, to familiarize the applicant with the facility and services
offered. The policies and procedures may allow for waiving the requirement at
the request of a person seeking admission when the completion of the visit
would create a hardship for the person seeking admission. If the distance to be
traveled makes it impossible to complete the visit in an eight-hour day, this
may be considered to create a hardship. (III)
4. Prior to admission of an applicant, the
facility shall obtain sufficient information to determine if its program is
appropriate and adequate to meet the person's needs. (III)
5. Admission criteria shall include, but not
be limited to, age, sex, current diagnosis from an American Psychiatric
Association Diagnostic and Statistical Manual of Mental Disorders, substance
abuse, dual diagnosis and criteria that are consistent with the
résumé of care. (III)
6. Each facility shall maintain a waiting
list with selection priorities identified. (III)
7. No ICF/PMI may admit more residents than
the number of beds for which it is licensed. (II, III)
8. There shall be a written, organized
orientation program for all residents which shall be planned and implemented to
resolve or reduce personal, family, business, and emotional problems that may
interfere with the health care, recovery, and rehabilitation of the individual
and which shall be available for review by the department. (III)
9. Infants and children under the age of 18
shall not be admitted as residents to an ICF/PMI for adults unless given prior
written approval by the department. A distinct part of an ICF/PMI, segregated
from the adult section, may be established based on a résumé of
care submitted by the licensee or applicant which is commensurate with the
needs of the residents of the health care facility and has received the
department's review and approval. (III)
10. Within 30 days of a resident's admission
to a health care facility receiving reimbursement through the medical
assistance program under Iowa Code chapter 249A, the facility shall ask the
resident or the resident's personal representative whether the resident is a
veteran and shall document the response. If the facility determines that the
resident is a potential veteran, the facility shall report the resident's name
along with the names of the resident's spouse and any dependent children, as
well as the name of the contact person for this information, to the Iowa
department of veterans affairs. Where appropriate, the facility may also report
such information to the Iowa department of human services.
If a resident is eligible for benefits through the United
States Department of Veterans Affairs or other third-party payor, the facility
first shall seek reimbursement from the identified payor source before seeking
reimbursement from the medical assistance program established under Iowa Code
chapter 249A.
The provisions of this paragraph shall not apply to the
admission of an individual as a resident to a state mental health institute for
acute psychiatric care. (II, III)
This rule is intended to implement Iowa Code sections
135C.3 and
135C.23.
