reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-303 - Authority-Scope-Enforcement

Current through Register Vol. 50, No. 6, June 20, 2024
A. Authority. These
				standards are promulgated pursuant to Louisiana
				R.S. 28:380
				et seq.
B. Scope. These standards
				apply to OMR/DD funded Infant Intervention Programs as defined in
				Section
				305 of these
				standards.
C. Enforcement. OMR/DD
				will monitor programs and provide technical assistance to ameliorate
				deficiencies and, when OMR/DD determines significant progress is not being
				made, may discontinue funds to providers found not in compliance with these
				standards or may take other actions as deemed necessary.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S. 28:380
				  et seq.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-307 - Screening

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Infant
				Intervention Program shall notify the Regional Service Center within one
				working day to obtain a case manager for any infant referred to the Infant
				Intervention Program.
B. The case
				manager shall insure that each infant referred to the Regional Service Center
				shall be screened within 10 working days pursuant to LSDE Bulletins 1508 and
				1633, to identify those who are suspected of having a serious handicapping
				condition.
C. The screening should
				be conducted by educators, nurses, pupil appraisal personnel, or other
				personnel and shall include:
1. vision and
				hearing screening; and
2. a
				developmental screening conducted by persons trained in such procedures;
				and
3 current medical
				information.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-309 - Evaluation

Current through Register Vol. 50, No. 6, June 20, 2024
A. The case manager
				shall insure that each infant shall have a multidisciplinary evaluation within
				60 working days of referral.
B.
				This evaluation shall be conducted by the LEA of the child's residence,
				pursuant to Act 754 and LSDE Bulletins 1508 and 1633, to be determined eligible
				for the Infant Intervention Program.
C. The evaluation shall include the following
				consistent with the LSDE Bulletins 1508 and 1633 and Title XIX criteria:
1. a physical examination conducted by a
				pediatrician or other appropriately trained physician which specifies the
				impairment(s) and assess the extent to which the impairment will inhibit normal
				development and learning. The report should also indicate facilitators to
				development and learning;
2. a
				developmental assessment conducted by an educational consultant, assessment
				teacher, psychologist, or master level professional, certified in
				non-categorical preschool handicapped who has appropriate training in
				developmental assessment and medical/education implications of handicapping
				conditions. The assessment report shall be signed by a licensed
				psychologist;
3. a family interview
				conducted by a social worker or other appropriate pupil appraisal staff member,
				which addresses such factors as:
a. the needs
				of the family in understanding the child,
b. the child's development, and
c. the community service agencies currently
				providing assistance to the family in relation to the child.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-311 - Eligibility

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each infant in
				the Infant Intervention Program shall meet all eligibility criteria pursuant to
				LSDE Bulletin 1508. These criteria are:
1.
				from birth to three years of age; (Three years of age is specified in Section
				321A.4 of these standards.)
2. a
				serious handicapping condition as indicated by:
a. severe physical handicap in areas such as
				sensory and/or motor functioning; or
b. functioning in the lower one-third (33rd
				percentile or less) of the normal developmental distribution in one or more of
				the areas of development assessed; or
c. a diagnosable condition which could result
				in a serious handicapping condition if untreated; or
d. severe inability to interact with the
				environment whether physical or social.
3. Evidence that educational or developmental
				intervention is necessary to the future ability of the infant to benefit from
				education.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-313 - Admission

Current through Register Vol. 50, No. 6, June 20, 2024
A. The case manager
				shall review the integrated evaluation report and determine if the infant meets
				the eligibility criteria for mental retardation and developmental disabilities
				services within five working days of the receipt of the report.
B. The case manager and the multidisciplinary
				evaluation coordinator shall develop the generic service plan based on the
				integrated evaluation report for all infants eligible for mental retardation
				and developmental disabilities services within five working days of the receipt
				of the report.
C. Each handicapped
				infant who meets the eligibility criteria pursuant to Section 3 of these
				standards, and whose generic service plan recommends an Infant Intervention
				Program, may apply for admission in the Infant Intervention Program.
D. Infants determined eligible for the Infant
				Intervention Program shall be enrolled without regard to race, color, creed,
				sex, national origin, or duration of Louisiana residence as program space is
				available.
E. Admission in a
				center-based program or home training program shall be determined by
				considerations such as the infant's age, travel distance to the center or
				school, severity of the handicapping condition, ability to benefit from peer
				interactions, medical factors, parent's ability to provide parent training in
				the home, and/or length of time the delay has existed without
				intervention.
AUTHORITY NOTE:
				  Promulgated in accordance with R. S. 28:380 et
				  seq.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-315 - Diagnostic Assessment

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				Infant Intervention Program shall assess each infant's performance with a
				criterion-referenced assessment, which should be compatible with their
				curriculum and the LEA'S preschool assessments and/or curriculum in their
				service area, for the purpose of developing the IHP.
1. The assessment shall be conducted at least
				twice within a calendar year for the purposes of determining infant progress
				and will be part of Section 319. D of these standards.
2. The assessment shall include at least the
				skill areas of motor, communication, self-care, social and cognition.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-317 - Individual Habilitation Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				The Infant Intervention Program shall develop within 30 working days of
				admission, and by the anniversary date thereafter, an individualized
				habilitation plan (IHP) for each infant which is developed in accordance with
				the requirements of OMR/DD.
B. The
				Infant Intervention Program shall plan a mutually convenient time and notify
				the parent(s) or guardian(s) of the date, time and place of the IHP planning
				conference.
C. The IHP shall meet
				the following criteria:
1. shall be in
				writing with long-term goals and short-term objectives specified;
2. shall be developed jointly by program
				staff and infant's parents or guardians;
3. shall be based on information from the
				multidisciplinary evaluation, criterion-referenced assessment and the generic
				service plan;
4. shall include a
				statement of the infant's present level of functioning;
5. shall identify therapies and habilitation
				services to be delivered, the person(s) and title who will provide each service
				and the frequency of each service;
6. shall indicate start and completion dates
				for each goal, therapy and/ or habilitation service;
7. shall include an evaluation component for
				evaluating progress;
8. shall have
				written consent by the parents or guardians; and
9. shall be reviewed and updated monthly with
				a new IHP developed on the yearly anniversary date.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-319 - Program Guidelines

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				Infant Intervention Program shall provide home training and/ or center-based
				services.
1. Each infant and the parent or
				guardian participating in home training services shall receive a minimum of one
				hour of therapies and habilitation services every two weeks. The exact time
				will be specified in the generic service plan and IHP.
2. Each infant participating in the
				center-based services shall receive individualized training for a minimum of
				three hours per day, at least two days a week. The exact time will be specified
				in the generic service plan and IHP.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-321 - Termination of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. An infant
				shall be terminated from the Infant Intervention Program under the following
				conditions:
1. if the infant makes
				substantial progress and no longer meets the eligibility criteria in
				Section
				311 of these standards;
				or
2. if the infant develops
				significant life-threatening medical problems which make effective services
				delivery impossible; or
3. if the
				infant's parent(s) chooses not to participate in the program; or
4. when the child reaches three years of age.
				Pursuant to LSDE Act 754, each handicapped infant shall be regarded as eligible
				for the LEA program at the beginning of the school year if his or her third
				birthday occurs after the beginning of the school year but before January 1. If
				the third birthday occurs after January 1, then the infant may remain in the
				Infant Intervention Program until the beginning of the following school
				year.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-323 - Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Infant
				Intervention Program shall maintain written program records to include:
1. a program description with eligibility
				criteria pursuant to these standards;
2. a policy concerning confidentiality of or
				access to program participant records and the time period for maintaining such
				records;
3. an appeal procedure for
				infants and their parents denied admission to or terminated from the Infant
				Intervention Program;
4.
				interagency agreements with the LEA's in their area of service including, but
				not limited to identification, referral, evaluation and transition;
5. a policy statement describing complaint
				procedures;
6. a policy regarding
				behavior management programs in accordance with DHHR policy;
7. release forms for exchange of confidential
				information;
8. permission forms
				for field trips and publicity releases;
9. additional information as required by
				OMR/DD.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-325 - Reporting

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Infant
				Intervention Program shall provide OMR/DD with a monthly report which indicates
				the following:
1. days in attendance by each
				infant in center-based services;
2.
				units of service provided to each infant and parent(s) in home training
				services;
3. infants admitted
				during the month;
4. infants
				terminated during the month and to where terminated.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-327 - General Staffing Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				The Infant Intervention Program shall have written job descriptions for all
				staff.
B. The Infant Intervention
				Program shall have a staff organizational chart which has been approved by its
				governing board.
C. The Infant
				Intervention Program shall hire or designate an individual to be responsible
				for the administration and direction of the program.
D. The Infant Intervention Program staff
				shall meet the following minimum qualifications:
1. Supervisor/administrator-a baccalaureate
				degree in administration, special education, social services, or related area
				and three years experience in the field.
2. Infant interventionist-a valid LSDE
				certificate as defined in
				Section
				305 of these standards, or a
				baccalaureate degree as defined in
				Section
				305 of these standards.
a. An infant interventionist not fully
				certified shall have an approved professional plan for certification.
3. Therapist (speech, occupation,
				physical)-a current license valid in the state of Louisiana and/or a valid
				certificate issued by LSDE to work in an educational setting.
4. Paraprofessional-a high school diploma or
				equivalent.
5. Other staff
				positions shall meet qualifications for employment approved by
				OMR/DD.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-329 - Inservice Training

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Infant
				Intervention Program shall work in conjunction with the Infant Specialist in
				the Regional Service Center to assess needs, develop and implement a plan for
				the inservice training of personnel each year.
B. Each full time professional, therapist and
				paraprofessional in an Infant Intervention Program shall participate in
				inservice training, technical assistance and other training functions sponsored
				or approved by OMR/DD each year to insure they possess sufficient skills to
				implement these standards and other responsibilities.
AUTHORITY NOTE:
				  Promulgated in accordance with R. S. 28:380 et
				  seq.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-331 - Monitoring

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Infant
				Intervention Program shall be monitored at least annually by DHHR and/or OMR/DD
				staff.
B. The Infant Intervention
				Program shall be responsible for providing access to information needed to
				document compliance with these standards.
C. The Infant Intervention Program shall be
				responsible for describing corrective actions necessary to ameliorate
				deficiency citations in a compliance plan which will be submitted to OMR/DD for
				approval.
D. The Infant
				Intervention Program shall continue serving each infant currently enrolled when
				these standards are promulgated until he or she is terminated due to the
				termination criteria in effect at their time of enrollment or in accordance
				with Section 321A.4 of these standards.
AUTHORITY NOTE:
				  Promulgated in accordance with R. S. 28:380 et
				  seq.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 3 - Infant Intervention Services › Section IX-333 - Licensing

Current through Register Vol. 50, No. 6, June 20, 2024
A. For licensing
				standards for infant intervention programs refer LAC Title 48, Chapter
				87.
AUTHORITY NOTE:
				  Promulgated in accordance with R. S. 28:380 et
				  seq.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 5 - State Residential Facilities › Section IX-501 - Treatment of Resident Income

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Definitions
Resident
-any individual for whom a state
				  residential facility is responsible for ongoing 24 hour care and whose primary
				  domicile is considered the state facility.
ICF/MR
-intermediate care facility for the
				  mentally retarded which is certified to meet federal regulations under
				  42CFR.
ICF/MR
-eligible resident An individual who
				  meets the state and federal eligibility criteria for Medicaid benefits and who
				  resides in an ICF/ MR under an approved placement plan.
Income Cash
-from every source which is
				  actually available, or which can be made available, and which is regular and
				  predictable over the period of eligibilty.
Gross Income
-the total income received
				  prior to any deductions.
Earned Income
-income which the individual
				  earns by his own efforts; that is, requires ongoing activity on his part and is
				  received as a result of performances of services by him.
Unearned Income
-all income which is not
				  considered as earned under these definitions. This includes pensions,
				  allotments, dividends from investments, insurance benefits, alimony payments,
				  etc.
B. Treatment of Income.
				All income of an individual resident in a state residential facility is
				considered in determination of the amount required to be paid to the facility
				to assist in financing cost of care. All such income, with the exceptions
				outlined below, shall be paid to the facility as long as the individual is
				considered a resident of that facility.
C. Residents Eligible for ICF/MR Services
1. The first $20 of total monthly individual
				income is reserved for the resident and is not applied against the cost of
				care.
a. If there is earned income only, the
				entire $20 is subtracted from that income and reserved for the
				resident.
b. If there is unearned
				income only, the entire $20 is subtracted from that income and reserved for the
				resident.
c. If there is both
				earned and unearned income, the $20 is subtracted first from the unearned
				income.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 5 - State Residential Facilities › Section IX-503 - Treatment of Resident Resources

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				resident of a state mental retardation/developmental disabilities residential
				facility shall be allowed to retain resources valued up to $1,600 as defined by
				the Supplemental Security Income (SSI) program. Resources valued in excess of
				$1,600 shall be disposed of in a manner which is acceptable for SSI
				determination of eligibility under that program. This includes, but is not
				limited to, legitimate sale or transfer of resources, payment to the facility
				for cost of care, and purchase of personal items. Failure to comply with this
				policy will subject the resident to discharge. The resident and/or family shall
				have six months from the date of identification of excess resources to
				accomplish the reduction or have an acceptable plan for reduction in
				effect.
B. Exceptions to this
				policy may be made by individual facilities with concurrence of the Mental
				Retardation/Developmental Disabilities Central Office under the following
				circumstances:
1. The individual resident is
				placed in the facility for a specific period of time to accomplish certain
				goals and there is a plan in effect for return of the resident to his own home
				or other community placement. Such plans would generally not exceed one year in
				duration.
2. There is joint
				ownership of property or an inviolable trust which makes access to the
				principal amount of the funds or resource impossible.
3. The individual would not be eligible for
				Title XIX even if resources were reduced.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 5 - State Residential Facilities › Section IX-505 - Eligibility

Current through Register Vol. 50, No. 6, June 20, 2024
A. For eligibility
				criteria for intermediate care facilities for the mentally retarded refer LAC
				Title 50, Part 3, Subpart A.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S. 36:1
				  et.seq.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 5 - State Residential Facilities › Section IX-507 - Licensing

Current through Register Vol. 50, No. 6, June 20, 2024
A. For licensing
				standards for residential facilities refer to LAC Title 48, Chapter
				79.
B. For licensing standards for
				group homes refer to LAC Title 48, Chapter 63.
C. For licensing standards for community
				homes see LAC Title 48, Chapter 51.
D. For licensing standards for supervised
				independent living see LAC Title 48, Chapter 83.
AUTHORITY NOTE: Promulgated in accordance with
					 R.S. 36:1
					 et. seq.
NOTE: For licensing standards for substitute family care
					 see LAC Title 48, Chapter 61.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 5 - State Residential Facilities › Section IX-509 - Voting Rights

Current through Register Vol. 50, No. 6, June 20, 2024
A. Voting by
				residents of state-operated facilities for mentally retarded/developmentally
				disabled persons.
B. The purpose of
				this policy/procedure is to assist eligible residents of state-operated
				residential facilities for mentally retarded/developmentally disabled persons
				to register to vote and to vote.
C.
				This policy applies to all state-operated residential facilities for mentally
				retarded/developmentally disabled persons.
D. Every resident of a state-operated
				facility for mentally retarded/ developmentally disabled persons, upon reaching
				18 years of age, shall have the right to register and vote, except that this
				right may be suspended while a resident is interdicted and judicially declared
				mentally incompetent or is under an order of imprisonment for conviction of a
				felony.
E. Procedures
1. All residents 18 years of age or older who
				have not had the right to vote suspended through interdiction and have not been
				convicted of a felony are eligible to vote.
2. Staff will determine whether or not a
				client is eligible to vote by reviewing the client's records.
3. Residents who are eligible to vote will be
				informed of their right to vote in accordance with Medicaid regulations  45 CFR
				442.404(d).
4. Residents who are
				eligible to vote and who ask to register to vote or to vote will be provided
				transportation to and from the registrar's office or the polls.
5. If residents are to be transported in
				large groups (more than three per group) the registrar's office of polling
				place will be notified in order to minimize problems.
6. Staff will not provide assistance to
				residents in registering to vote or in voting while at the registrar's office
				or the polls. Assistance in mobility may be provided to handicapped persons in
				wheelchairs.
7. Nothing in this
				policy is intended to inhibit facilities from teaching residents the skills
				necessary to vote in accordance with Medicaid regulation  45 CFR 442.404(d) .
				Rather, such training is encouraged. Such training shall not extend to any
				attempt to influence any resident's vote either for or against any candidate or
				proposition.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 5 - State Residential Facilities › Section IX-511 - DHH Policy on Admission to State Residential Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Effective February 20, 1998, an individual
				whose eligibility for participation in the MR/DD Services System has been
				established and whose generic service plan indicates a need for a residential
				living option may be voluntarily admitted to a public residential facility at
				which there is an available funded bed. The public facility must determine that
				the individual's needs, as specified in the generic service plan, can be met.
				The individual is formally admitted when the public facility accepts the
				individual as a recipient. In the process of selecting a generic living option,
				the team, which includes the individual and/or family, is required to consider
				what meets the individual's needs, and no more, and the most natural living
				option available, consistent with an individual's community peers. Involuntary
				admission is governed by
				R.S.
				28:404.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S. 28:380
				  et seq.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-701 - Purpose

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Office for
				Citizens with Developmental Disabilities Services System is the Single Point of
				Entry (SPOE) for the Developmental Disabilities Services System
				(system).
B. Standards for the
				determination process for system entry establish:
1. entry into the system;
2. general support needs and
				resources;
3. the presence of a
				developmental disability;
4. the
				diagnostic assessment;
5. the
				developmental assessment for children ages birth through three years;
				and
6. specialized accommodations,
				including transportation.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-703 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A.
Developmental Disability
-defined in accordance with the
				Developmental Disability Law at
				R.S.
				28:451.2(12) and
				462(4)(c).
B. Developmental
				Disabilities Services System-a system of programs, services, and supports for
				persons with developmental disabilities that include but are not limited to
				information and referral services, support coordination services, system entry
				services, development of support profiles and plans, individual and family
				support services, living options, habilitation services and vocational services
				provided by the Department of Health and Hospitals and administered by the
				Office for Citizens with Developmental Disabilities. The term system is used in
				this document to refer to the Developmental Disabilities Services
				System.
C.
Entry Unit
				(EU)
-a section of the local governing entities (LGEs) that implements
				the developmental disabilities services system entry process.
D.
Entry Review Team (ERT)
-a
				transdisciplinary team including but not limited to, staff of the system entry
				unit, community services regional administrator or designee, and a
				psychologist. The team may also include a social worker, a nurse and/or other
				consultants as necessary.
E.
				Protected Date-the date that will be included on OCDD's registries for supports
				and services requested.
F. Support
				Profile-defined in accordance with the Developmental Disability Law at
				R.S.
				28:451.2(28).
G.
Local Governing Entity
				(LGE)
-an integrated human services delivery system with local
				accountability and management, which provides behavioral health and
				developmental disabilities services.
H.
OCDD Contractors
-regional
				system point of entry contractors who conduct eligibility determination for the
				early intervention system for children ages birth to three years.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:451.2.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-705 - Single Point of Entry

Current through Register Vol. 50, No. 6, June 20, 2024
A. The OCDD has
				responsibility for programmatic leadership in the designing and developing of
				all developmental disabilities services pursuant to agreements with the LGEs
				and OCDD contractors as statutorily constituted by state law and with public
				and private providers. Throughout this Rule, the term "entry unit" is used to
				describe the role of the LGEs and OCDD contractors in the OCDD system entry
				process.
B. The local governing
				entities (LGEs) are the Metropolitan Human Services District, the Capital Area
				Human Services District, the South Central Human Services Authority, the
				Acadiana Area Human Services Authority, the Imperial Calcasieu Human Services
				Authority, the Central Louisiana Human Services District, the Northwest
				Louisiana Human Services District, the Northeast Delta Human Services
				Authority, the Florida Parishes Human Services Authority and the Jefferson
				Parish Human Services Authority:
1.
				Metropolitan Human Services District-Orleans, Plaquemines and St. Bernard
				parishes;
2. Capital Area Human
				Services District-Ascension, East Baton Rouge, East Feliciana, Iberville, Point
				Coupee, West Baton Rouge, and West Feliciana parishes;
3. South Central Human Services
				Authority-Assumption, Lafourche, St. Charles, St James, St. John, Terrebonne,
				and St Mary parishes;
4. Acadiana
				Area Human Services District-Acadia, Evangeline, Iberia, Lafayette, St. Landry,
				St. Martin, and Vermilion parishes;
5. Imperial Calcasieu Human Services
				Authority-Allen, Beauregard, Cameron, Calcasieu, and Jefferson Davis
				parishes;
6. Central Louisiana
				Human Services Authority-Avoyelles, Catahoula, Concordia, Grant, LaSalle,
				Rapides, Vernon, and Winn parishes;
7. Northwest Louisiana Human Services
				District-Bienville, Bossier, Caddo, Claiborne, DeSoto, Natchitoches, Red River,
				Sabine, and Webster parishes;
8.
				Northeast Delta Human Services Authority-Caldwell, East Carroll, Franklin,
				Jackson, Lincoln, Madison, Morehouse, Ouachita, Tensas, Union, and West Carroll
				parishes;
9. Florida Parishes Human
				Services Authority-Livingston, St. Helena, St. Tammany, Tangipahoa, and
				Washington parishes; and
10.
				Jefferson Parish Human Services Authority-Jefferson Parish.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-709 - System Eligibility for Children between the Ages of 0-3 Years

Current through Register Vol. 50, No. 6, June 20, 2024
A. Children from
				0-3 years who are currently eligible for Louisiana's early intervention system
				services as verified by receipt of all required early intervention system
				documents, including the individualized family services plan (IFSP), will meet
				criteria for entering the developmental disabilities services system.
B. The entry unit staff will refer the family
				or legal guardian to the early intervention system point of entry to seek an
				eligibility determination for early intervention services if the child is
				between the ages of 0-3 years and is not currently receiving services from the
				Early Intervention Program.
C. It
				is the responsibility of the parent or legal guardian to initiate contact with
				the local LGE entry unit after the IFSP transition conference. In those cases,
				the family will indicate its intention to participate in eligibility
				redetermination and will receive a letter from the Early Intervention Program
				advising of the need to contact the local LGE prior to the childs third
				birthday.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:454.2.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-711 - Approval for Entry into the System

Current through Register Vol. 50, No. 6, June 20, 2024
A. Protected date for entry into the system
				shall be one of the following:
1. the date on
				the signed Request for Participation Form; or
2. the original appointment date for the
				face-to-face interview if this date was subsequently changed by the entry unit
				staff and if the person is approved for entry into the system; or
3. the protected date from the early
				intervention system for children who previously had early intervention
				eligibility.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-713 - Non-Approval for Entry into the System

Current through Register Vol. 50, No. 6, June 20, 2024
A. Persons who do not meet criteria for entry
				will receive a Statement of Denial (SOD) with their Rights of Appeal
				attached.
B. Persons who are
				receiving services and who receive a SOD will continue to receive services for
				thirty calendar days from the receipt date of the SOD or until the end date of
				the IFSP for children in early intervention.
C. Persons who receive a SOD have the right
				to reapply for services at the entry unit in the area of their residence and to
				request and receive an administrative hearing through the Division of
				Administrative Law (DAL).
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  28:454.2 or
				  464(13).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-717 - Closure of Requests for Supports and Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Initial requests may be "closed" due to:
1. insufficient information based upon the
				person/family consistently not complying with obtaining needed information
				and/or participating in scheduled appointments;
2. denial for system entry (SOD) has been
				determined; or
3. request of the
				individual and/or family.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-719 - OCDD Data Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The LGEs
				and OCDD contractors shall provide monthly to the OCDD central office random
				samples of completed determinations with supporting documentation in accordance
				with OCDD's quality review methodologies.
B. The LGEs and OCDD contractors shall
				utilize OCDD's information management system for developmental disabilities to
				enter all information as required by OCDD's policies and procedures for system
				entry.
C. The LGEs and OCDD
				contractors shall provide additional information to OCDD as requested for the
				purpose of evaluating quality and compliance with state laws, policies and
				procedures relevant to system entry.
AUTHORITY NOTE:
				  Promulgated in accordance with R.S. 28.454.17
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-721 - OCDD Quality Reviews

Current through Register Vol. 50, No. 6, June 20, 2024
A. The OCDD
				central office will conduct periodic quality reviews of the LGEs and OCDD
				contractors regarding the processes for the single point of entry and the
				determination process for system entry.
B. The purpose of the quality reviews is to
				assess overall accuracy in decision making, completeness of information
				relative to the determination reached, and adherence to the Developmental
				Disability Law as well as to the rules, policies, operational instructions and
				procedures required by the office pertaining to single point of entry and the
				determination process for system entry conducted by the LGEs and OCDD
				contractors.
C. The quality reviews
				may consist of analyses of the following:
1.
				random samplings of completed eligibility determinations;
2. on-site observations of the determination
				process for system entry;
3. entry
				review team meetings;
4. required
				monthly data submissions; and
5.
				completeness, timeliness and accuracy of information required on OCDD's
				information management system for developmental disabilities.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 9 - Guidelines for Certification of Medication Attendant › Section IX-901 - Overview

Current through Register Vol. 50, No. 6, June 20, 2024
A.R.S. 37:1021-1025
				authorizes the establishment of a medication administration course for the
				purpose of training and certifying unlicensed personnel to administer certain
				medication to residents of intermediate care facilities for people with
				developmental disabilities (ICFs/DD) and community homes for people with
				developmental disabilities either operated by the Office for Citizens with
				Developmental Disabilities (OCDD) or funded through the Department of Health
				(LDH); and to individuals in programs/agencies contracting for services with
				LDH except as prohibited in §911. B.5 Persons who successfully complete
				the certified medication attendant (CMA) course and demonstrate an acceptable
				level of competency on a written test and a practical examination are eligible
				for certification as medication attendants. Use of certified medication
				attendants (CMAs) on the part of private providers that contract with DHH is
				strictly voluntary.
B. The
				guidelines establish:
1. qualifications for
				instructors and CMA applicants;
2.
				authorized functions and prohibitions of certified medication
				attendants;
3. certified medication
				attendant 60-hour course curriculum;
4. requirements for initial certification and
				ongoing re-certification of medication attendants and reciprocity;
5. decertification and appeal
				process;
6. provider
				responsibilities;
7. role and
				responsibilities of the Office for Citizens with Developmental Disabilities;
				and
8. composition and role of
				Certified Medication Attendant Committee.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 9 - Guidelines for Certification of Medication Attendant › Section IX-905 - Applicability

Current through Register Vol. 50, No. 6, June 20, 2024
A. These guidelines
				shall apply only for certification of medication attendants who are:
1. employed in intermediate care facilities
				for people with developmental disabilities (ICFs/DD) operated by the Office for
				Citizens with Developmental Disabilities;
2. employed in community homes for people
				with developmental disabilities and/or small or large intermediate care
				facilities for people with developmental disabilities funded through the
				Department of Health;
3. employed
				in program/agencies, except as prohibited by §911. B 5, contracting with
				the Department of Health for services to people with developmental
				disabilities; or
4. employed in
				programs supporting individuals licensed in HCBS services.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 9 - Guidelines for Certification of Medication Attendant › Section IX-907 - Qualifications of Applicants to be Medication Attendants

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each person accepted to participate in the
				medication attendant course must be:
1. a
				citizen of the United States, a United States national, or an alien lawfully
				admitted for permanent residency in the United States.
2. employed in a facility operated by the
				Office for Citizens with Developmental Disabilities (OCDD), in a community home
				for persons with developmental disabilities funded through the Louisiana
				Department of Health (LDH) or the Department of Children and Family Services
				(DCFS), or in an intermediate care facility for people with developmental
				disabilities; or be a person who provides in-home Medicaid home and
				community-based services;
3. at
				least 18 years of age;
4. able to
				read, write, and comprehend the English language;
5. free of communicable diseases and in
				suitable physical and emotional health to administer medications
				safely;
6. without a known record
				or history of drug abuse or record of conviction of a felony.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 9 - Guidelines for Certification of Medication Attendant › Section IX-909 - Qualifications of Instructors for Certified Medication Attendant Courses

Current through Register Vol. 50, No. 6, June 20, 2024
A. A registered
				nurse (RN) with a minimum of one year of clinical experience as a nurse
				consultant or a full-time nurse for a provider agency providing services to
				individuals with developmental disabilities in a day-habilitation facility,
				state facility, ICF/DD or HCBS setting qualifies as an instructor to teach the
				60-hour course consisting of 40-hours classroom theory and 20 hours of clinical
				practical. The RN may delegate the 20 hours of practical training to a licensed
				practical nurse (LPN) with a minimum of one year of clinical experience in a
				developmental disability setting and knowledge of the course.
B. The RN instructor must complete training
				offered by the OCDD in the curriculum prior to teaching the course.
C. The DHH/OCDD may offer the medication
				administration instructor course on at least an annual basis, or as determined
				by the certified medication attendant committee.
AUTHORITY NOTE:
				  Promulgated in accordance with R.S.
				  37:1021-1025.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 9 - Guidelines for Certification of Medication Attendant › Section IX-911 - Authorized and Prohibited Functions of Certified Medication Attendants

Current through Register Vol. 50, No. 6, June 20, 2024
A. Authorized
				functions of the certified medication attendant:
1. deliver medications ordered by a
				physician, dentist, or authorized prescriber to individuals for
				self-administration verifying with the medication administration record, the
				correct individual, dosage, medication name, route, and time;
2. deliver and administer medications ordered
				by a physician, dentist, or authorized prescriber to individuals with the
				supervision of a registered nurse, as defined in LAC 46:XLVII.3703.A, verifying
				with the medication administration record, the correct individual, dosage,
				medication name, route, and time;
3. administer oral medications, enemas,
				douches, ointments, pre-measured oral inhalant aerosols, and suppositories
				unless otherwise indicated;
4.
				record in the individuals chart:
a. doses
				delivered to and/or administered to the individual;
b. effectiveness of the drug;
c. any adverse effect of the drug;
d. appropriate vital signs as indicated by
				the physician order and/or knowledge of the drug; and
e. may transfer prescribed medication
				information to a medication administration record (MAR); may transfer
				medication information using a pre-printed pharmacy label indicating the
				correct individual, dosage, medication name, route, and time;
5. administer prescribed pro re
				nata (PRN), or as needed, medications when authorized by a licensed physician,
				dentist, authorized prescriber, or registered nurse. The authorizing health
				care professional must document the authorization in writing within 24
				hours.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 9 - Guidelines for Certification of Medication Attendant › Section IX-913 - Certified Medication Attendant Course Curriculum

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each applicant must complete a 60-hour
				course to become a certified medication attendant.
1. The course curriculum is 40 hours of
				classroom theory to include at a minimum, instruction in the following topics:
a. legal aspects;
b. roles and responsibilities of drug
				administration;
c.
				definitions;
d.
				terminology;
e. classification of
				drugs;
f. measurement;
g. identification;
h. effects and side effects;
i. distribution and route;
j. care and handling of drugs;
k. skills-tasks to be completed for
				competency; and
l.
				documentation.