D.C. Mun. Regs. tit. 29, r. 29-4117

Current through Register 71, No. 45, November 7, 2024
Rule 29-4117 - PAYMENT FOR RESERVED BEDS
4117.1

Payment for reserved bed days for hospitalization or therapeutic leaves of absence for a beneficiary who is a resident of an ICF/IID may be authorized for up to sixty (60) days during a District fiscal year, if there is a reasonable expectation that the beneficiary will return to the facility.

4117.2

Payment for therapeutic leaves of absence shall only be authorized if provided for in a beneficiary's plan of care.

4117.3

Payment for reserved bed days authorized in accordance with §§ 4117.1 and 4117.2 shall equal the facility's per diem rate for the beneficiary, based on the beneficiary's approved acuity level assignment.

4117.4

A reserved bed day for purposes of this section is a day in which a beneficiary who is a resident of an ICF/IID receives fewer than eight (8) hours of supports in an ICF/IID beginning at midnight (12:00 am) and ending at 11:59 p.m.

4117.5

Payment for reserved beds is conditioned on each beneficiary residing in an ICF/IID for at least one (1) day.

4117.6

Each provider shall require the family member or caregiver to sign a leave and request form upon exit and return to the facility. The provider shall ensure that each family member or caregiver provide contact information.

4117.7

Each provider shall discuss the resident's medical regimen with the family member or caregiver. The provider shall ensure that each family member or caregiver is provided a sufficient quantity of the resident's medication for the leave period.

4117.8

Each provider shall report to DHCF any unusual incident that occurred during any therapeutic leave of absence.

4117.9

Each provider shall comply with all reporting requirements for reserved bed days set forth in 29 DCMR § 951.

D.C. Mun. Regs. tit. 29, r. 29-4117

Final Rulemaking published at 65 DCR 2435 (3/9/2018)