Iowa Administrative Code › Agency 441 - Human Services Department › Title VIII - Medical Assistance › Chapter 82 - Intermediate Care Facilities for Persons With an Intellectual Disability › Rule 441-82.9 - Arrangements With Residents

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Resident care agreement.
The ICF/ID Resident Care Agreement,
				Form 470-0374, shall be used as a three-party contract among the facility, the
				resident, and the department to spell out the duties, rights, and obligation of
				all parties.
(2)
Financial
				participation by resident.
A resident's payment for care may include
				any voluntary payments made by family members toward cost of care of the
				resident. The resident's client participation and medical payments from a third
				party shall be paid toward the total cost of care for the month before any
				Medicaid payment is made. Medicaid will pay the balance of the cost of care for
				the remainder of the month. The facility shall make arrangements directly with
				the resident for payment of client participation.
(3)
Personal needs account.
When a facility manages the personal needs funds of a resident, it shall
				establish and maintain a system of accounting for expenditures from the
				resident's personal needs funds. The department shall charge back to the
				facility any maintenance item included in the computation of the audit cost
				that is charged to the resident's personal needs account when the charge
				constitutes double payment. Unverifiable expenditures charged to personal needs
				accounts may be charged back to the facility. The accounting system is subject
				to audit by representatives of the department of inspections and appeals and
				shall meet the following criteria:
a. Upon
				admittance, a ledger sheet shall be credited with the resident's total
				incidental money on hand. Thereafter, the ledger shall be kept current on a
				monthly basis. The facility may combine the accounting with the disbursement
				section showing the date, amount given the resident, and the resident's
				signature. A separate ledger shall be maintained for each resident.
b. When something is purchased for the
				resident and is not a direct cash disbursement, each expenditure item in the
				ledger shall be supported by a signed, dated receipt. The receipt shall
				indicate the article furnished for the resident's benefit.
c. Personal funds shall only be turned over
				to the resident, the resident's guardian, or other persons selected by the
				resident. With the consent of the resident, when the resident is able and
				willing to give consent, the administrator may turn over personal funds to a
				close relative or friend of the resident to purchase a particular item. A
				signed, itemized, dated receipt shall be required to be deposited in the
				resident's files.
d. The receipts
				for each resident shall be kept until canceled by auditors.
e. The ledger and receipts for each resident
				shall be made available for periodic audits by an accredited department of
				inspections and appeals representative. Audit certification shall be made by
				the department's representative at the bottom of the ledger sheet. Supporting
				receipts may then be destroyed.
f.
				Upon a member's death, a receipt shall be obtained from the next of kin or the
				member's guardian before releasing the balance of the personal needs funds.
				When the member has been receiving a grant from the department for all or part
				of the personal needs, any funds shall revert to the department. The department
				shall turn the funds over to the member's estate.