130 CMR 419.405 - Scope of Day Habilitation
(A) A DH provider
must provide the following services.
(1)
Nursing Services and Health Care Supervision. The DH
provider must provide nursing coverage on site. Nursing services must be
provided to meet the needs of each member and must include the following:
(a) administration of medications and
treatments prescribed by the member's PCP during the time the member is at the
program;
(b) education in hygiene
and health concerns;
(c)
coordination of each member's DHSP with other health care professionals
including the NF where the member resides, if applicable;
(d) monitoring each member's health status
and documenting those findings in the member's medical record at least
quarterly, or more often if the member's condition requires more frequent
monitoring. Nursing must also document any findings every six months as part of
the interdisciplinary team's semi-annual review;
(e) reporting changes in the member's
condition to the member's PCP;
(f)
oversight of the implementation of the IDT recommendations, therapy treatment
as recommended by a licensed therapist and, as applicable, PCP order;
and
(g) coordinated implementation
of the PCP's orders with the member, authorized representative, and DH provider
staff.
(2)
Developmental Skills Training. The DH provider must
provide skills training in the following areas: self-help development,
sensorimotor development, communication development, social development,
independent living development, affective development skills, behavior
development, and wellness.
(3)
Therapy Services. The DH provider must provide therapy
services when recommended by the SNA. Therapy services include
(a) speech/language therapy;
(b) occupational therapy;
(c) physical therapy; and
(d) behavior management.
(4)
Assistance with Activities of
Daily Living (ADL). The DH provider must have sufficient staff at
its site to provide assistance with ADLs to members as necessary.
(5)
Day Habilitation Service
Management. The DH provider must undertake activities that ensure
implementation of the member's day habilitation service plan including required
reviews described in
130
CMR 419.419(C).
Notes
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