Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 134d - Medical Assistance › Long Term Care Facility Preadmission Screening and Community Based Services Program › Section 17-134d-46 - Customized wheelchairs in nursing facilities as defined in 42 USC 1396r(a), as amended from time to time, and ICFs/MR as defined in 42 USC 1396(d)d, as amended from time to time

Current through July 10, 2024
(a)
Conditions of Participation
Nursing facilities as defined in
				  42 USC
				  1396r(a), as amended from
				  time to time, and ICFs/MR as defined in
				  42 USC
				  1396(d) d, as amended from
				  time to time, are required as conditions of participation in the Medical
				  Assistance Program to provide or to arrange for the provision of customized
				  wheelchairs and related services on behalf of Title XIX assisted patients who
				  require such customized wheelchairs and related services.
(b)
Definition of Customized
				Wheelchair
A customized wheelchair is defined as a wheelchair
				  specifically manufactured to meet the special medical, physical and
				  psychosocial needs of a recipient who cannot independently maintain proper body
				  alignment. The wheelchair must be individualized to preclude the use of the
				  wheelchair by any other person except the recipient for whom it was originally
				  developed.
(c)
Identification of Potential Patients
Nursing facilities and ICFs/MR shall identify Title XIX
				  patients who potentially require customized wheelchairs as a result of the
				  patient's possessing certain physical disabilities. These physical disabilities
				  would be of such a nature as to require adaptations to a standard wheelchair
				  needed to support and properly position the disabled person's body in proper
				  body alignment in a wheelchair. An Interdisciplinary Team (IDT) assessment
				  shall be performed in accordance with subsections (d) through and including (h)
				  of this section as follows for each disabled person who potentially requires a
				  customized wheelchair. The IDT assessment shall determine whether or not such
				  person in fact requires a customized wheelchair, and shall determine the
				  appropriate design and characteristic of any such customized wheelchair. It is
				  the facility's obligation to identify recipients who may require customized
				  wheelchairs and related services, and to initiate required interdisciplinary
				  assessments. The Department's medical review teams may identify patients who
				  potentially require such services in the regular course of periodic inspections
				  of the adequacy of care provided by such facilities. Upon notification from the
				  Department that a Title XIX assisted patient may require a customized
				  wheelchair and related services, nursing facilities and ICFs/MR are required to
				  conduct an interdisciplinary assessment in accordance with subsections (d)
				  through and including (h) of this section.
(d)
Assessment Appropriateness
An assessment of a disabled patient's need for a customized
				  wheelchair must be made whenever an assessment is appropriate. This is
				  indicated by the presence of disabilities which preclude effective use of a
				  standard wheelchair, and which require adaptations to be made to a wheelchair
				  to properly position and support the disabled person's body.
(e)
Composition of Interdisciplinary
				(IDT) Team
(1) An assessment to be
				adequate must be made by an Interdisciplinary Team (IDT) process. The IDT shall
				include at a minimum, the participation of all the following:
(A) The patient's attending
				physician;
(B) A physician who is
				board certified or board eligible in orthopedics or physical
				medicine;
(C) A registered physical
				therapist (RPT) who is licensed by the State of Connecticut and is qualified to
				assess the patient's needs or by a registered occupational therapist who is
				licensed by the State of Connecticut (L/OTR) and qualified to assess the
				patient's needs; and
(D) A
				representative of the professional nursing staff of the facility (registered
				nurse) or licensed practical nurse.