Kansas Administrative Regulations › Agency 30 - KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES › Article 10 - ADULT CARE HOME PROGRAM › Section 30-10-2 - Standards for participation; nursing facilities and nursing facilities for mental health

Current through Register Vol. 43, No. 28, July 11, 2024
(a) As a
			 prerequisite for participation in the Kansas medical assistance program as a
			 provider of nursing facility services, each nursing facility and each nursing
			 facility for mental health shall perform the following:
(1) Provide nursing services;
(2) meet the requirements of Title IV,
			 subtitle C, part 2 of the federal omnibus budget reconciliation act of 1987,
			 effective October 1, 1990, which is adopted by reference;
(3) be certified for participation in the
			 program for all licensed beds by the Kansas department of health and
			 environment or the federal department of health and human services;
(4) have been operating under a provider
			 agreement with the agency on June 30, 1994 if the certification is for a
			 nursing facility for mental health;
(5) submit an application for participation
			 in the program on forms prescribed by the secretary of social and
			 rehabilitation services;
(6)
			 update provided information as required by the application forms;
(7) furnish and allow inspection of any
			 information that the agency, its designee, or the United States department of
			 health and human services may request in order to assure proper payment by the
			 Kansas medical assistance program;
(8) inform all new residents of the
			 availability of a potential eligibility assessment under the federal spousal
			 impoverishment law. This assessment shall be completed by the agency or a local
			 agency office;
(9) ensure that
			 before a nonemergency admission of each resident, state-mandated preadmission
			 and referral services have been completed by the Kansas department on aging;
(10) provide nonemergency
			 transportation; and
(11) submit to
			 the agency a copy of the resident assessment form for each resident as follows:
(A) Each nursing facility shall complete a
			 resident assessment form no later than 14 days after admission, no later than
			 14 days after a significant change in the resident's physical or mental
			 condition, and in no case less often than once every 12 months. Each nursing
			 facility shall conduct a review by completing the resident assessment form no
			 less often than once every three months. Assessments shall be used to monitor
			 the appropriate level of care.
(B)
			 Each nursing facility shall submit resident assessment forms, including the
			 tracking documents, within seven days of completion. Each resident assessment
			 form shall be sent to the state data base by electronic transmission. A
			 resident assessment form shall be considered timely submitted upon the receipt
			 of the electronic submission.
(C)
			 Penalty for nonsubmission of accurate and timely assessment. If 10 percent or
			 more of a nursing facility's assessments are not completed and submitted as
			 required, all further payments to the provider shall be suspended until the
			 forms have been completed and submitted electronically. Thirty days before
			 suspending payment to a provider, written notice stating the agency's intent to
			 suspend payments shall be sent by the agency to the provider. This notice shall
			 explain the basis for the agency's determination and shall explain the
			 necessary corrective action that must be taken before payments are reinstated.
(D) Any assessment that cannot be
			 classified shall be assigned to the lowest classification group.