Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 65 - Intermediate Care Facilities for Persons With Mental Illness (ICF/PMI) › Rule 481-65.10 - General Admission Policies

Current through Register Vol. 47, No. 3, July 24, 2024
There shall be admission policies which address the
				  following:
1. No resident shall be
				admitted or retained who is in need of greater services than the facility can
				provide. (II, III)
2. Residents
				shall be admitted only on a written order signed by a physician. (II,
				III)
3. A preplacement visit shall
				be completed prior to admission, except in case of an emergency admission or
				readmission, to familiarize the applicant with the facility and services
				offered. The policies and procedures may allow for waiving the requirement at
				the request of a person seeking admission when the completion of the visit
				would create a hardship for the person seeking admission. If the distance to be
				traveled makes it impossible to complete the visit in an eight-hour day, this
				may be considered to create a hardship. (Ill)
4. Prior to admission of an applicant, the
				facility shall obtain sufficient information to determine if its program is
				appropriate and adequate to meet the person's needs. (Ill)
5. Admission criteria shall include, but not
				be limited to, age, sex, current diagnosis from an American Psychiatric
				Association Diagnostic and Statistical Manual of Mental Disorders, substance
				abuse, dual diagnosis and criteria that are consistent with the resume of care.
				(Ill)
6. Each facility shall
				maintain a waiting list with selection priorities identified. (Ill)
7. No ICF/PMI may admit more residents than
				the number of beds for which it is licensed. (II, III)
8. There shall be a written, organized
				orientation program for all residents which shall be planned and implemented to
				resolve or reduce personal, family, business, and emotional problems that may
				interfere with the health care, recovery, and rehabilitation of the individual
				and which shall be available for review by the department. (Ill)
9. Infants and children under the age of 18
				shall not be admitted as residents to an ICF/PMI for adults unless given prior
				written approval by the department. A distinct part of an ICF/PMI, segregated
				from the adult section, may be established based on a resume of care submitted
				by the licensee or applicant which is commensurate with the needs of the
				residents of the health care facility and has received the department's review
				and approval. (Ill)
10. Within 30
				days of a resident's admission to a health care facility receiving
				reimbursement through the medical assistance program under Iowa Code chapter
				249A, the facility shall ask the resident or the resident's personal
				representative whether the resident is a veteran and shall document the
				response. If the facility determines that the resident is a potential veteran,
				the facility shall report the resident's name along with the names of the
				resident's spouse and any dependent children, as well as the name of the
				contact person for this information, to the Iowa department of veterans
				affairs. Where appropriate, the facility may also report such information to
				the Iowa department of human services.
If a resident is eligible for benefits through the United
				  States Department of Veterans Affairs or other third-party payor, the facility
				  first shall seek reimbursement from the identified payor source before seeking
				  reimbursement from the medical assistance program established under Iowa Code
				  chapter 249A.
The provisions of this paragraph shall not apply to the
				  admission of an individual as a resident to a state mental health institute for
				  acute psychiatric care. (II, III)
This rule is intended to implement Iowa Code sections 135C.3
				  and 135C.23.