La. Admin. Code tit. 48 § I-8771

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-8771 - Admission

A. Admission Criteria

1. The ABI facility shall have a clear and specific written description of admission policies and procedures. This written description shall include, but is not limited to:

a. the application process and the possible reasons for the rejection of an application;

b. types of clients suitable to the ABI facility; and

c. services offered and allowed in the ABI facility.

2. An ABI facility may accept or retain clients in need of additional care beyond routine personal care provided that:

a. the client or the representative, if applicable, and the facility agree that acceptance or retention of the client is appropriate; and

b. the facility has the capability of meeting the needs of the client.

B. Admissions Agreement

1. The ABI facility shall complete and maintain individual written admission agreements with all persons admitted to the facility or with their representative. The facility contract/admissions agreement shall specify:

a. clear and specific occupancy criteria and procedures (admission, transfer and discharge);

b. basic services to be made available;

c. optional services which are available;

d. payment provisions, including the following:

i. covered and non-covered services; and

ii. payor or funding source;

e. clients code of conduct for participation in the program and clients agreement to abide by the same;

f. the facility shall notify the client or representative at least 30 days prior to rate changes;

g. refund criteria;

h. that the department has the authority to examine clients records as part of the evaluation of the facility;

i. division of responsibility between the facility, client, family or others (e.g., arranging for or overseeing medical care, purchase of essential or desired supplies, emergencies, monitoring of health, handling or finances);

j. clients rights;

k. explanation of the grievance procedure and appeals process; and

l. the development of a service plan specific to the individual client, including participation of the client and/or representative in the development of the plan.

2. The admissions agreement shall be signed by the director and by the client and the representative, if applicable.

C. At the time of admission the ABI facility shall:

1. obtain from the client or the clients family or representative, their plan for both routine and emergency medical care to include the name of physician(s) and provisions and authorization for emergency medical care;

2. document that the client and/or representative was informed of the ABI facility's emergency and evacuation procedures; and

3. if the client has executed a medical power of attorney or an advanced directive, the facility shall maintain a copy of these documents.

La. Admin. Code tit. 48, § I-8771

Promulgated by the Department of Health, Bureau of Health Services Financing, LR 432180 (11/1/2017).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and 40:2120.31-40.