455 Ind. Admin. Code 1-1-8

Current through November 6, 2024

Section 455 IAC 1-1-8 - Health facility; duties

Authority: IC 12-9.1-2-3

Affected: IC 12-10-12; IC 12-13-5; IC 12-14

Sec. 8.

(a) When an individual applies to a health facility for admission, the health facility shall notify the applicant:

(1) that he or she must apply to the prescreening agency for participation in the prescreening program;

(2) that the preadmission screening program consists of an assessment of the applicant's need for care in a health facility made by a team of individuals familiar with the needs of persons seeking admission; and

(3) the penalty that the individual will incur under IC 12-10-12-33 and IC 12-10-12-34 if he or she does not comply with the prescreening program.

(b) The notification shall be in writing on forms prescribed by the division and shall contain the information set out in IC 12-10-12-10(a) and IC 12-10-12-10(b).

(c) The applicant must be given one (1) signed copy acknowledging that he or she has received the notice and the date that the notice was received. The health facility that the individual has entered shall keep one (1) signed copy on file for one (1) year from the date of signature or, if the individual is admitted to the health facility, from the date of admission, whichever is later. One (1) signed copy must be forwarded to the prescreening agency within five (5) working days from the date of signature or, if the individual is admitted to the health facility, from the date of admission, whichever is later.

(d) It is the responsibility of the health facility to provide verification that:

(1) the application for prescreening was made prior to admission;

(2) an individual admitted prior to the prescreening determination under IC 12-10-12-20 had designee authorization for admission required under IC 12-10-12-27; and

(3) the copy of the application and other designated documentation were forwarded to the prescreening agency within five (5) working days from the date of designee authorization.

(e) The health facility shall promptly provide to the screening team an estimate of the cost of all services that the individual is anticipated to require in the health facility. The estimate will be at the cost charged to private payors.

455 IAC 1-1-8

Division of Aging; 455 IAC 1-1-8; filed Jul 25, 1985, 3:39 p.m.: 8 IR 1988; filed Aug 7, 1995, 10:00 a.m.: 18 IR 3390; readopted filed Nov 14, 2001, 4:45 p.m.: 25 IR 1274; readopted filed Nov 30, 2007, 4:47 p.m.: 20071226-IR-460070733RFA; readopted filed Nov 15, 2013, 3:22 p.m.: 20131211-IR-455130453RFA

Readopted filed 11/13/2019, 11:55 a.m.: 20191211-IR-455190488RFA

Transferred from the Department on Aging and Community Services ( 450 IAC 1-1-8) to the Division of Aging and Rehabilitative Services ( 460 IAC 1-1-8) by P.L. 41-1987, SECTION 23, effective July 1, 1987.

Transferred from the Division of Disability and Rehabilitative Services ( 460 IAC 1-1-8) to the Division of Aging ( 455 IAC 1-1-8) by P.L. 153-2011, SECTION 21, effective July 1, 2011.