N.D. Admin Code 75-02-10-06 - Functional assessment

1. For purposes of this section, "functional assessment" means an instrument used to record basic demographic and medical information about an individual, including age, date of birth, spoken language, marital status, individuals residing with, emergency contacts, medical resources, health care coverage, and source and reason for referral; and to secure measurable information regarding:

a. Physical health;

b. Cognitive and emotional functioning;

c. Activities of daily living;

d. Instrumental activities of daily living;

e. Informal supports;

f. Need for twenty-four-hour supervision;

g. Social participation;

h. Physical environment;

i. Financial resources; and

j. Other information about the individual's condition not recorded elsewhere.

2. An initial functional assessment, using an appropriate form determined by the department, must be completed as a part of the application for benefits under this chapter. An update of the individual's functional assessment must be completed in conjunction with each medicaid eligibility redetermination that is anticipated to be completed at least six months after the initial functional assessment.

3. A functional assessment must include an interview with the individual in the home where the individual resides.

Notes

N.D. Admin Code 75-02-10-06

Effective May 1, 1995; amended effective June 1, 2002.

General Authority: NDCC 50-06-16, 50-24.5-02(8)

Law Implemented: NDCC 50-24.5