Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 05 - Developmental Disabilities Services › Rule 016.05.09-001 - DDS Policy 1086 - Human Development Center Admission and Discharge Rules

Current through Register Vol. 49, No. 6, June, 2024
I.
POLICY
.
This rule replaces existing policies in order to clarify that
				admission and continued residence at Human Development Centers is limited to
				eligible individuals who need and can benefit from care and active treatment at
				an intermediate care facility for the mentally retarded. This rule establishes
				guidelines for discharge of individuals from the Human Development Centers
				(HDC) operated by Developmental Disabilities Services (DDS). This rule applies
				to all applicants for and recipients of human development center services
				regardless of whether the applicant or recipient is Medicaid eligible.
II.
SUBSTANTIVE
			 RULES:
(a)
Deflnitions:
1
Active
			 Treatment
: A continuous program of aggressive, consistent,
			 specialized and generic training, treatment, health services and related
			 services described in
			 42
			 C.F.R. 483.440(A) Chapter
			 IV, Subchapter G, Part 483, Subpart I.
2.
Adverse
			 determination
: A DDS determination of an individual's written
			 application for or opposition to:
A.
			 Eligibility for DDS services;
B.
			 HDC admission, transfer, or discharge; that is contrary to the individual's
			 written application or opposition.
3.
Annual Status
			 Review
: A review conducted at least at twelve-month intervals
			 after admission to:
A. Assess the client's
			 status;
B. Review and, if necessary
			 recommend changes to the client's program plan;
C. Determine the client's continued HDC
			 eligibility.
Replacement Notation: This policy replaces DDS Policy # 1053
				dated October 7, 1983; January 8,
1987, December 1, 1993, and December 1, 1987. DDS Policy # 1086
				dated 19,2002.
Effective Date: July 24, 2009
References: Commissioner's Office Policy 3007-1, DDS Board
				Policy # 1009.
4.
Disability
: The deprivation of physical or mental
			 capacity.
5.
Emergency
: Unforseen life threatening circumstances
			 that necessitate immediate HDC placement because no other safe alternatives are
			 available.
6.
Human
			 Development Center (HDC):
a state-operated intermediate care
			 facility for the mentally retarded (ICF-MR) that provides residential care and
			 active treatment services to eligible developmentally disabled
			 individuals.
7.
Interdisciplinary Team
: a team constituted and
			 functioning in accordance with 42 C.F.R. Chapter IV, Subchapter G, Part 483,
			 Subpart I. For purposes of admission and the annual status review, the
			 interdisciplinary team shall include a licensed physician.
8.
Primary
			 Disability
: The condition having the greatest impact on the
			 individual's ability to function.
9.
Primary
			 Diagnosis
: A licensed physician's opinion of the individual's
			 primary disability.
10.
Psychological Team:
DDS Psychological Examiner who
			 determines Intermediate Level of Care for Mental Retardation
			 (ICF/MR).
11.
Transfers
: A transfer occurs when an HDC resident is
			 admitted to another HDC. Transfers shall be accomplished by application for
			 admission to the second HDC. If the application is approved, the individual
			 shall be discharged from the first HDC at the time the individual is
			 transported to the second HDC (see DDS Policy 1036 HDC Transfers).