Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 50 - Home and Community-Based Services Providers Licensing Standards › Subchapter D - Service Delivery › Section I-5039 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The HCBS
					 provider shall ensure that the client receives the necessary care and services
					 to attain or maintain the highest practicable physical, mental and psychosocial
					 well-being of the client, in accordance with the comprehensive assessment and
					 individual service plan.
B.
					 Assessment of Needs
1. Prior to any service
					 being rendered, an HCBS provider shall conduct a thorough assessment of the
					 client's needs to identify where supports and services are needed and whether
					 the provider has the capacity to provide such needed care and
					 services.
2. The provider shall not
					 admit a client for whom they do not have the capacity to safely provide
					 required services.
3. The
					 assessment shall identify potential risks to the client and shall address, at a
					 minimum the following areas:
a. life safety,
					 including, but not limited to:
i. the ability
					 of the client to access emergency services;
ii. the ability of the client to access
					 transportation in order to obtain necessary goods and services (i.e. medical
					 appointments, medications and groceries); and
iii. the ability of the client to evacuate
					 the home in an emergent event, such as a fire in the home, or in the event of a
					 declared disaster;
b.
					 living environment including, but not limited to:
i. presence of physical hazards (i.e. objects
					 that could cause falls, hot water temperatures that could contribute to
					 scalds);
ii. presence of functional
					 utilities; and
iii. presence of
					 environmental hazards (i.e. chemicals, foods not kept at acceptable
					 temperatures);
c. health
					 conditions including, but not limited to:
i.
					 diagnoses;
ii. medications,
					 including methods of administration; and
iii. current services and treatment
					 regimen;
d. functional
					 capacity including but not limited to:
i.
					 activities of daily living;
ii.
					 instrumental activities of daily living including money management, if
					 applicable;
iii. communication
					 skills;
iv. social skills;
					 and
v. psychosocial skills
					 including behavioral needs; and
e. client financial health including, but not
					 limited to:
i. the client's independent
					 ability to manage their own finances;
ii. the client's dependence on a family
					 member or other legal representative to manage the client's finances;
					 and
iii. the client's need for the
					 provider's assistance to manage the client's finances to assure that bills such
					 as rent and utilities are paid timely.
4. The assessment shall be conducted prior to
					 admission and at least annually thereafter. The assessment shall be conducted
					 more often as the client's needs change.
5. An HCBS comprehensive assessment performed
					 for a client in accordance with policies, procedures, and timeframes
					 established by Medicaid or by an LDH program office for reimbursement purposes
					 can substitute for the assessment required under these provisions.
6. The provider shall be familiar with the
					 health condition of client's served. If the client has an observable
					 significant change in physical or mental status, the provider shall ensure that
					 the change is immediately reported so that the client receives needed medical
					 attention by a licensed medical practitioner in a timely manner.