Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 678 - FINANCIAL ASSISTANCE STANDARDS FOR INDIVIDUALS IN INDEPENDENT LIVING ARRANGEMENTS, RESIDENTIAL TREATMENT FACILITIES, OR DOMICILIARY CARE HOMES › Section 17-678-2 - Definitions

Current through June, 2024
As used in this chapter:
"Average monthly payment" means the average monthly
				  expenditure amount in the State fiscal year. This is calculated for the current
				  month by totaling all expenditures up to the current month and dividing it by
				  the number of months in which payments were made in the fiscal year beginning
				  with July.
"Bedholding" means the holding or reserving of a space in a
				  domiciliary care home for no more than thirty days to enable an individual, who
				  will be temporarily away from the facility, to return to the same
				  facility.
"Domiciliary care home" means any facility which provides
				  twenty-four hour living accommodations, personal care services, and appropriate
				  health care, as needed, to adults unable to care for themselves by persons
				  unrelated to the recipient or applicant. The facility shall be licensed or
				  regulated by the department of health. Any home that is issued a certificate of
				  approval by a case management agency contracted by any of the department's home
				  and community-based medicaid waiver programs shall not be considered a
				  domiciliary care home. A domiciliary care home does not provide rehabilitative
				  treatment services provided by special treatment facilities. There are two
				  types of domiciliary care homes:
(1) Type I home for five or less residents; and
(2) Type II home for six or more residents.
"Household appliance" means a refrigerator or range owned by
				  the recipient.
"Long-term care facility" means a medical institution such
				  as a skilled nursing facility, intermediate care facility, intermediate care
				  facility for the mentally retarded, or any combination thereof, that furnishes
				  health care services to inpatients for the mentally retarded, or any
				  combination thereof, that furnishes health care services to inpatients.
"Medical institution" means an institution which:
(1) Is organized to provide medical care, including nursing
				  and convalescent care;
(2) Has the necessary professional personnel, equipment, and
				  facilities to manage the medical, nursing, and other health needs of the
				  patients on a continuing basis in accordance with accepted standards;
(3) Is authorized under State law to provide medical care;
				  and
(4) Is staffed by professional personnel who have clear and
				  definite responsibility to the institution in the provision of professional
				  medical and nursing services including adequate and continual medical care and
				  supervision by a physician; sufficient registered nurse or licensed practical
				  nurse supervision and services and nurse aid services to meet nursing care
				  needs; and appropriate guidance by a physician on the professional aspects of
				  operating the facility.
"Natural disaster" means fire, flood, earthquake, typhoon,
				  hurricane, volcanic eruption, seismic wave, or tsunami.
"Residential treatment facility" means a facility which
				  provides twenty-four hour living accommodations, treatment, and rehabilitation
				  to two or more persons who are alcohol or drug abusers, mentally ill, or
				  socially or emotionally distressed persons. A residential treatment facility
				  shall not be considered a domiciliary care home.
"Special circumstance allowance" means rental deposits,
				  utility deposits, repair or replacement of household appliance, standardized
				  allowance for general assistance recipients assigned to a temporary labor force
				  assignment, or natural disaster allowance.
"State fiscal year" means the calendar months of July 1
				  through the following June 30.