Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 1720 - BENEFITS PACKAGE › Subchapter 6 - INSTITUTIONAL CARE SERVICES › Section 17-1720-22 - Institutional care services

Current through June, 2024
(a) Institutional
				  care services are provided in a licensed nursing facility to an enrollee who is
				  referred by a physician and may require prior authorization.
(b) Institutional care services shall be
				  provided either directly by or under the general supervision of a licensed
				  practical nurse or registered professional nurse.
(c) Institutional care services shall
				  minimally include, but are not limited to:
(1) Activities of the enrollee's choice
				  (including religious activities) that are designed to provide normal pursuits
				  for physical and psychosocial well-being;
(2) Administration of medication and
				  treatment;
(3) Basic nursing and
				  treatment supplies include, but are not limited to: soap, skin lotion, alcohol,
				  powder, applicators, tongue depressors, cotton ball, gauzes, adhesive tape,
				  bandages, incontinent pads, V-pads, thermometers, blood pressure apparatus,
				  plastic or rubber sheets, enema equipment, and douche equipment;
(4) Development, management, and evaluation
				  of the written care plan based on physician orders that necessitate the
				  involvement of skilled technical or professional personnel to meet the
				  enrollee's care needs, promote recovery, and ensure the enrollee's health and
				  safety;
(5) Durable medical
				  equipment and supplies used but which are reusable include, but are not limited
				  to: ice bag, hot water bottle, urinal, bedpan, commode, cane, crutch, walker,
				  wheelchair, and side rail and traction equipment;
(6) Health education services provided by
				  skilled technical or professional personnel to teach the enrollee self care,
				  such as gait training and self-administration of medications;
(7) Laundry service for items of enrollee's
				  washable personal clothing;
(8)
				  Nonrestorative or nonrehabilitative therapy, or both, provided by nursing
				  staff;
(9) Observation and
				  assessment of the enrollee's unstable condition that requires the skills and
				  knowledge of skilled technical or " professional personnel to identify and
				  evaluate the enrollee's need for possible medical intervention, modification of
				  treatment, or both, to stabilize the enrollee's condition;
(10) Review of the drug regimen of each
				  institutionalized enrollee at least once a month by a licensed pharmacist, as
				  required for a nursing facility to participate in Medicaid;
(11) Therapeutic diet and dietary supplements
				  as ordered by the attending physician;
(12) Social services provided by qualified
				  personnel;
(13) Room and
				  board;
(14) Provision of and
				  payment for, through contractual agreements with appropriate skilled technical
				  or professional personnel, other medical and remedial services ordered by the
				  attending physician which are not regularly provided by the provider. Other
				  services that may be needed, such as transportation to realize the provision of
				  services ordered by the attending physician, shall also be arranged through
				  contractual agreements. The contractual agreement shall stipulate the
				  responsibilities, functions, objectives, service fee, and other terms agreed to
				  by the NF and the person or entity that contracts to provide the service;
				  and
(15) Feeding assistance
				  performed by a feeding assistant, nurse aide, or nurse. The feeding assistant
				  must work under the supervision of a registered nurse or licensed practical
				  nurse that is licensed to practice in Hawaii.