Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES › Chapter 31 - SERVICES IN AN INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES (ICF/DD) › Section 471-31-002 - DEFINITIONS

Current through June 17, 2024
The following definitions apply:
002.01
ACTIVE
  TREATMENT.
A continuous treatment plan which includes aggressive,
  consistent implementation of a program of specialized and generic training,
  treatment, health services, and related services that meet the requirements of
  42 Code of Federal Regulations (CFR) 483.440(a).
002.02
ADMISSION
  DATE.
The date the facility determines to admit the client to the
  facility. The determination must occur within 24 hours of the client's arrival
  at the facility.
002.03
ALTERNATE LEVELS OF CARE.
Non-institutional living
  arrangements providing less care than a nursing facility (NF) or an
  intermediate care facility for individuals with developmental disabilities
  (ICF/DD)) and more care than independent living, such as adult family home,
  domiciliary facility, residential care facility, group home, center for the
  developmentally disabled, or other community living situations.
002.04
BED HOLDING.
Per diem payment made to an intermediate care facility for individuals with
  developmental disabilities (ICF/DD) to hold a bed when a client is hospitalized
  or on therapeutic leave.
002.05
BENEFIT FROM ACTIVE TREATMENT.
Demonstrable progress
  in reducing barriers to less restrictive alternatives.
002.06
CLIENT.
An
  individual who has been determined eligible for the Nebraska Medicaid
  Program.
002.07
COMMUNITY-BASED DEVELOPMENTAL DISABILITY SERVICES.
An
  array of specialized services, including vocational, pre-vocational,
  residential, and service coordination, provided outside an institutional
  setting.
002.08
COMPREHENSIVE FUNCTIONAL ASSESSMENT.
A report or a
  series of reports synthesizing the results of relevant evaluations of the
  client's abilities and deficits to determine needs. These reports, or
  assessments, must be made in the following areas: developmental skills,
  behavioral skills, social skills, health and nutritional status, and other
  assessments based on the client's needs.
002.09
DEVELOPMENTAL DISABILITY
  (DP)
Developmental disability means a severe, chronic disability,
  including an intellectual disability, other than mental illness, which:
(1) Is attributable to a mental or physical
  impairment unless the impairment is solely attributable to a severe emotional
  disturbance or persistent mental illness:
(2) Is manifested before the age of
  twenty-two years;
(3) Is likely to
  continue indefinitely;
(4) Results
  in substantial functional limitations in one of each of the following areas of
  adaptive functioning:
(i) Conceptual skills,
  including language, literacy, money, time, number concepts, and self-direction:
  nil Social skills, including interpersonal skills, social responsibility,
  self-esteem, gullibility, wariness, social problem solving, and the ability to
  follow laws and rules and to avoid being victimized: and
(ii) Practical skills, including activities
  of daily living, personal care, occupational skills, healthcare, mobility, and
  the capacity for independent living; and
(iii) Reflects the individual's need for a
  combination and sequence of special, interdisciplinary, or generic services,
  individualized supports, or other forms of assistance which are of lifelong or
  extended duration and are individually planned and coordinated.
002.09(A)
INDIVIDUALS NINE AND
  YOUNGER.
An individual from birth through the age of nine years
  inclusive, who has a substantial developmental delay or specific congenital or
  acquired condition, may be considered to have a developmental disability
  without meeting three or more of the major life activities described in
  subdivision of this section if the individual, without services and support,
  has a high probability of meeting those criteria later in
  life.