Ohio Admin. Code 5123-7-32 - Intermediate care facilities for individuals with intellectual disabilities - administration of the Ohio developmental disabilities profile
(A)
Purpose
This rule sets forth a requirement and process for administration of the Ohio developmental disabilities profile to residents of an intermediate care facility for individuals with intellectual disabilities (ICFIID).
(B)
Definitions of
terms used in this rule
For the purposes of this rule, the following definitions apply:
(1)
"Certified assessor" means a person authorized by the
department to administer the Ohio developmental disabilities profile. In order
to become a certified assessor, a person is required to complete training
conducted or approved by the department and successfully perform a
post-training demonstration.
(2)
"Ohio
developmental disabilities profile" means the instrument used to assess the
needs and circumstances of an individual with developmental disabilities
relative to other individuals with developmental disabilities.
(3)
"Reporting
period" means one of the four quarters of the calendar year, that is:
(a)
January through
March;
(b)
April through June;
(c)
July through
September; or
(d)
October through December.
(4)
"Reporting period
end date" means the last day of the last month in a reporting
period.
(5)
"Significant change of condition" means that an
individual has experienced a change in physical or mental condition or
functional abilities which may result in a change in the individual's support
needs.
(C)
Administration of the Ohio developmental disabilities
profile
(1)
Only
a certified assessor may administer the Ohio developmental disabilities profile
or attest that the most recent Ohio developmental disabilities profile is still
valid for a resident of an ICFIID.
(2)
A certified
assessor of the department will administer the Ohio developmental disabilities
profile to a new resident of an ICFIID (other than a resident who transfers
from another ICFIID) within thirty calendar days of the resident's admission,
regardless of the resident's payment source or anticipated length of stay.
Within seven calendar days of administration of the Ohio developmental
disabilities profile, the department will electronically notify the ICFIID of
the results.
(3)
When a resident of an ICFIID transfers to another
ICFIID, the resident's most recent Ohio developmental disabilities profile will
transfer with the resident.
(4)
When a resident
of an ICFIID, regardless of the resident's payment source or anticipated length
of stay, experiences a significant change of condition, a certified assessor of
the ICFIID shall administer the Ohio developmental disabilities profile and
electronically submit the results to the department with supporting
documentation for the significant change of condition within fifteen calendar
days of the significant change of condition. Within seven calendar days of
receipt of the ICFIID's electronic submission, the department will make a
determination on a question-by-question basis and electronically notify the
ICFIID that:
(a)
The department accepts the results of the Ohio developmental
disabilities profile administered by the ICFIID;
(b)
The department
requires additional supporting documentation to make a determination which will
be submitted by the ICFIID within seven calendar days; or
(c)
The department
does not accept the results of the Ohio developmental disabilities profile
administered by the ICFIID and provide the department's rationale for not
accepting the results.
(5)
An ICFIID that
disputes the results of an Ohio developmental disabilities profile administered
by the department in accordance with paragraph (C)(2) of this rule or the
department's determination in accordance with paragraph (C)(4)(c) of this rule
may submit a request for reconsideration within fifteen calendar days of
receiving notification of the results or determination. The ICFIID shall
electronically submit the request for reconsideration to the department with a
detailed explanation of why the ICFIID disputes the results or determination,
relevant supporting documentation, and a proposed resolution. When an ICFIID
submits a request for reconsideration in response to the department's
determination in accordance with paragraph (C)(4)(c) of this rule, a certified
assessor of the department will re-administer the entire Ohio developmental
disabilities profile to the resident. The department will electronically
respond to the ICFIID within fifteen calendar days of receiving the request for
reconsideration. The department's decision regarding a request for
reconsideration is final and not subject to further appeal.
(D)
Quarterly certification of Ohio developmental disabilities
profile data
(1)
For each reporting period, a certified assessor of the
ICFIID shall attest that the most recent Ohio developmental disabilities
profile is still valid for each resident of the ICFIID on the reporting period
end date, regardless of a resident's payment source or anticipated length of
stay.
(a)
The
following will be considered residents of the ICFIID on the reporting period
end date:
(i)
Residents admitted or transferred to the ICFIID prior to or
on the reporting period end date and physically residing in the ICFIID on the
reporting period end date; and
(ii)
Residents
temporarily absent on the reporting period end date but for whom the ICFIID is
receiving payment from any source to hold a bed for the resident during a
hospital stay, visit with friends or relatives, or participation in therapeutic
programs outside the facility in accordance with rule
5123-7-08 of the Administrative
Code.
(b)
The following will not be considered residents of the
ICFIID on the reporting period end date:
(i)
Residents
discharged from the ICFIID prior to or on the reporting period end
date;
(ii)
Residents transferred to another ICFIID prior to or on
the reporting period end date; and
(iii)
Residents who
die prior to or on the reporting period end date.
(2)
A
certified assessor of the ICFIID shall electronically certify the Ohio
developmental disabilities profile data on behalf of the entire ICFIID no later
than fifteen calendar days following the reporting period end date. The
certification will include the name of the certified assessor who verified that
an Ohio developmental disabilities profile has been administered and attested
that the most recent Ohio developmental disabilities profile is still valid for
each resident of the ICFIID on the reporting period end date and the name and
contact information of a staff member should department staff have questions
about the data.
(E)
Summary and
correction of Ohio developmental disabilities profile data
(1)
The department
will electronically notify an ICFIID of a missing or incomplete certification
of Ohio developmental disabilities profile.
(2)
The department
will process and summarize the ICFIID's Ohio developmental disabilities profile
data for the reporting period and electronically provide a summary of the data
to the ICFIID.
(3)
An ICFIID may correct errors or omissions identified by
either the department or the ICFIID by electronically submitting corrections
along with an amended certification of Ohio developmental disabilities profile
data no later than forty-five calendar days following the reporting period end
date. Timeliness of the submission will be determined by the electronic
submission date.
(4)
An ICFIID shall ensure that corrections made to the
Ohio developmental disabilities profile data submitted to the department are
consistent with the Ohio developmental disabilities profiles maintained at the
ICFIID.
Replaces: 5123:2-7-32
Notes
Promulgated Under: 119.03
Statutory Authority: 5123.04, 5124.03
Rule Amplifies: 5123.04, 5124.03, 5124.191
Prior Effective Dates: 09/15/2017
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