Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 1439 - HOME AND COMMUNITY BASED SERVICES FOR THE DEVELOPMENTALLY DISABLED/MENTALLY RETARDED › Section 17-1439-2 - Definitions

Current through June, 2024
As used in this chapter:
"Acuity level B" means the level of medical care and special
				  services which are appropriately obtained from an ICF-MR.
"Adult day health services" means, the provision of
				  coordinated health and developmental services to the recipient, as requied by
				  the individual habilitation plan, All services are equivalent to "active
				  treatment" in an ICF-MR institution and all program trainers are supervised by
				  a QMRP.
"Applicant" means an individual whose written application
				  for medical assistance has bete submitted to the department but who has not
				  received final action.
"Assigned physician" means a medical doctor (M.D.) or a
				  doctor of osteopathy (D.O.) who orders and directs the care needs of a medicaid
				  recipient. The assigned physician may be a physician from a group practice who
				  is designated as the primary physician or an alternate physician that has been
				  delegated the role of the assigned physician by the client's initial assigned
				  physician during the physician's absence.
"Case management" means services provided by an
				  interdisciplinary team and QMRP to locate, coordinate, and monitor services
				  prescribed for the client in the individual habilitation plan.
"Client" means an individual who meets the DD/MRH&CBS
				  waiver program eligibility criteria anchas been admitted into the
				  program.
"Contractor" means an agency or individual contractor
				  providing home and community based services to a client under an agreement with
				  the department.
"Environmental modifications" means the non recurring
				  provision of change to dwelling units to enable non-ambulatory clients to
				  reside in community homes which require adaptive and safety alterations such as
				  the installation of sidewalks and ramps; widening of doorways and corridors;
				  removal of other architectural barriers; and the enlargement of the bath 1439-2
				  facility to allow the movement of and ensure the safety of clients.
"Furnish", "furnishes", or "furnished" means items and
				  services provided by or arranged for and which are under the direct supervision
				  of a provider home and community-based services.
"HCFA" means the United States Department of Health and
				  Human Services, Health Care Financing Administration.
"Habilitation services" means in home services prescribed by
				  the interdisciplinary team in the individual habilitation plan which include
				  activities related to developmental program objectives, community and social
				  orientation, and the maintenance of appropriate and complete records. Persons
				  providing services must be certified as passing the habilitation training
				  curriculum.
"Home" means the client's own home or a home which meets all
				  state licensure/certification requirements of a care, foster, or domiciliary
				  home.
"ICF-MR" means an intermediate care facility for the
				  mentally retarded or persons with related conditions, such as epilepsy,
				  cerebral palsy, or other developmental disabilities as defined under part C of
				  the developmental disabilities services and facilities construction act.
"Individual habilitation plan" (IHP) means a written plan
				  based on the interdisciplinary team assessment that addresses identified client
				  problems, indicates goals or outcomes, the specific type and frequency of
				  service(s), and the provider(s) of services for each problem.
"Interdisciplinary team" means a team consisting of a
				  licensed physician, a registered nurse, a social worker, and various
				  specialized professionals and therapists (ie: psychologist, educator, and/or
				  physical, occupational, speech, and/or hearing therapist) as needed. At least
				  one member of the review team shall be a qualified mental retardation
				  professional who has specialized training or at least one year of experience in
				  treating or working with the mentally retarded.
"NF" means nursing facility.
"Personal care services" means the health oriented
				  assistance to the client in activities of daily living, as specified in the
				  individualized habilitation plan.
Personal care services include assistance in bathing,
				  dressing, toileting, positioning, transfers, feeding, special incontinence
				  care, supervisionof medications, special diet preparations, and/or other
				  specialized treatments. Personal care services are supervised by a Hawaii
				  licensed registered nurse and are provided by qualified personnel who have
				  received training as designated by the department
"Qualified mental retardation professional" (QMRP) means an
				  individual who has at least one year of experience working directly with
				  persons with mental retardation or other developmental disabilities and who has
				  graduated from an accredited university or is licensed/certified in a field
				  related to developmental disabilities as stated in the waiver.
"Respite care" means care provided in a State licensed
				  foster/care home or a certified ICF/MR facility on a limited basis for relief
				  to the primary caretaker, client's medical recuperation or unmanageable
				  behavior.
"Skilled nursing" means the provision of professional
				  nursing services requiring substantial specialized knowledge of the biological,
				  physical, behavioral, psychological and sociological sciences of nursing
				  theory, as the basis for assessment, diagnosis, planning, intervention and
				  evaluation in the promotion and maintenance of health and the restoration of
				  optimum functioning. Skilled nursing services are prescribed by the
				  Interdisciplinary teamand provided by a Hawaii licensed registered (R.N.) or
				  practical nurse (L.P.N.).
"UR" means utilization review of home and community-based
				  services provided to clients to determine whether continued stay is
				  appropriate.