reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 1 - AGENCY COMPANION SERVICES › Section 317:40-5-11 - Termination of Agency Companion placement

Current through Vol. 41, No. 20, July 1, 2024
(a) Oklahoma Department of Human Services
				  Developmental Disabilities Services (DDS) staff may terminate an individual
				  agency companion (AC) placement for reasons including, but not limited to the:
(1) member's decision to move to a different
				  residence;
(2) request of the
				  companion; and
(3) personal support
				  team determines the AC placement is no longer the most appropriate placement
				  for the member;
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 1 - AGENCY COMPANION SERVICES › Section 317:40-5-12 - Selection of a provider agency [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 1679, eff 5-27-96; Amended at 15 Ok Reg 3837, eff 7-1-98 (emergency); Amended
					 at 16 Ok Reg 1445, eff 5-27-99; Revoked at 22 Ok Reg 2531, eff
					 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 1 - AGENCY COMPANION SERVICES › Section 317:40-5-13 - Agency Companion Services provider agency responsibilities

Current through Vol. 41, No. 20, July 1, 2024
(a) The agency
				  providing Agency Companion Services (ACS) complies with Oklahoma Health Care
				  Authority and Oklahoma Department of Human Services (DHS) policies and
				  procedures governing all aspects of service provision.
(b) The provider agency is responsible for
				  all contract provider related activities detailed in this Subchapter.
(c) In the event the provider agency wishes
				  to discontinue services immediately due to an emergency, the provider agency
				  cooperates with the DHS Developmental Disabilities Services (DDS) to secure
				  alternative services in the least restrictive environment.
(d) The provider agency ensures that services
				  provided meet requirements of Oklahoma Administrative Code (OAC)
				  340:100-5-22.1,
				  unless other requirements are stated in this Section.
(e) When the provider agency serves as the
				  member's representative payee, the provider agency must adhere to OAC
				  340:100-3-4.1
				  requirements.
(f) The provider
				  agency acts immediately to remedy any situation posing a risk to the health,
				  well-being, or provision of specified services to the member.
(1) The provider agency's program
				  coordination staff completes and submits incident and injury reports to DDS per
				  OAC
				  340:100-3-34.
(2) A companion's contract is immediately
				  terminated when a provider agency becomes aware a companion's name appears on
				  the Community Services Worker Registry per OAC
				  340:100-3-39.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 1 - AGENCY COMPANION SERVICES › Section 317:40-5-14 - Department case manager role and responsibilities [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 1679, eff 5-27-96; Amended at 15 Ok Reg 3837, eff 7-1-98 (emergency); Amended
					 at 16 Ok Reg 1445, eff 5-27-99; Revoked at 22 Ok Reg 2531, eff
					 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 1 - AGENCY COMPANION SERVICES › Section 317:40-5-15 - Department Agency Companion Services (ACS) staff role and responsibilities [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 3 Ok Reg
					 1679, eff 5-27-96; Amended at 15 Ok Reg 3837, eff 7-1-98 (emergency); Amended
					 at 16 Ok Reg 1445, eff 5-27-99; Revoked at 22 Ok Reg 2531, eff
					 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 3 - GUIDELINES TO STAFF › Section 317:40-5-35 - Home profile [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 1679, eff 5-27-96; Revoked at 15 Ok Reg 3837, eff 7-1-98 (emergency); Revoked
					 at 16 Ok Reg 1445, eff 5-27-99
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 3 - GUIDELINES TO STAFF › Section 317:40-5-36 - Annual review [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 1679, eff 5-27-96; Revoked at 15 Ok Reg 3837, eff 7-1-98 (emergency); Revoked
					 at 16 Ok Reg 1445, eff 5-27-99
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 3 - GUIDELINES TO STAFF › Section 317:40-5-37 - Investigations of alleged abuse or neglect of a consumer in a home [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 1679, eff 5-27-96; Amended at 15 Ok Reg 3837, eff 7-1-98 (emergency); Amended
					 at 16 Ok Reg 1445, eff 5-27-99; Revoked at 22 Ok Reg 2531, eff
					 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 3 - GUIDELINES TO STAFF › Section 317:40-5-38 - Evaluation process [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 1679, eff 5-27-96; Amended at 15 Ok Reg 3837, eff 7-1-98 (emergency); Amended
					 at 16 Ok Reg 1445, eff 5-27-99; Revoked at 22 Ok Reg 2531, eff
					 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 3 - GUIDELINES TO STAFF › Section 317:40-5-39 - Plan of action [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 13 Ok Reg
					 1679, eff 5-27-96; Amended at 15 Ok Reg 3837, eff 7-1-98 (emergency); Amended
					 at 16 Ok Reg 1445, eff 5-27-99; Revoked at 22 Ok Reg 2531, eff
					 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 3 - GUIDELINES TO STAFF › Section 317:40-5-40 - Home profile process

Current through Vol. 41, No. 20, July 1, 2024
(a)
Applicability.
This Section establishes procedures for
				  Developmental Disabilities Services (DDS) home profile process. A home profile
				  is required for:
(1) Agency companion services
				  (ACS);
(2) Specialized Foster Care
				  (SFC) services;
(3) Respite
				  services delivered in the provider's home;
(4) Approving services in a home shared by a
				  non-relative provider and a member; and
(5) Any other situation that requires a home
				  profile.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-50 - Purpose of Specialized Foster Care (SFC)

Current through Vol. 41, No. 20, July 1, 2024
(a) SFC provides up
				  to twenty-four (24) hours per day of in-home residential habilitation services
				  funded through the Community Waiver or the Homeward Bound Waiver. SFC serves
				  individuals three (3) years of age and older. SFC provides an individualized
				  living arrangement in a family setting including up to twenty-four (24) hours
				  per day of supervision, supportive assistance, and training in daily living
				  skills.
(b) SFC is provided in a
				  setting that best meets the member's specialized needs.
(c) Members in SFC have a written plan that
				  addresses visitation, reunification, or permanency planning, and which may also
				  address guardianship as the member approaches eighteen (18) years of
				  age.
(d) As per the requirements in
				  (1) through (4) of this subsection, SFC providers:
(1) Are approved through the home profile
				  process described in Oklahoma Administrative Code (OAC)
				  317:40-5-40;
(2) Have a current Home and Community-Based
				  Services (HCBS) Waiver contract with the Oklahoma Health Care Authority; and
(3) Have a current Fixed Rate
				  Foster Home Contract for room and board reimbursement with Developmental
				  Disabilities Services (DDS) when:
(A) The SFC
				  member is a child; or
(B) Required
				  by the adult SFC recipient's Personal Support Team
				  (Team).
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-51 - Scope of Specialized Foster Care [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Amended at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-52 - Visitation and reunification in Specialized Foster Care [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Amended at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-53 - Management of unacceptable behavior [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Amended at
					 21 Ok Reg 1327, eff 5-27-04; Revoked at 22 Ok Reg 2559, eff
					 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-54 - Selection of Specialized Foster Care provider [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Amended at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-56 - Responsibilities of the parents of individuals in voluntary specialized foster care [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Amended at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-57 - Developmental Disabilities Services DDS Specialized Foster Care (SFC) case management roles and responsibilities

Current through Vol. 41, No. 20, July 1, 2024
In addition to other identified roles and
					 responsibilities, the DDS case manager is responsible for:
(1) Reporting any significant changes with
				  the member or the SFC household to the DDS social service specialist
				  (SSS);
(2) The member's
				  guardianship needs;
(3)
				  Pre-placement visits when approved by the DDS SSS;
(4) Reviewing the member's backup plan, per
				  Oklahoma Administrative Code (OAC)
				  317:40-5-59;
(5) Reporting policy violations to the DDS
				  SSS per OAC
				  317:40-5-63,
				  and assists the DDS SSS in developing the provider's action plan when
				  appropriate;
(6) Ensuring the SFC
				  provider documents the member's personal belongings on Oklahoma Human Services
				  (OKDHS) Form 06AC022, Personal Possession Inventory, including adaptive
				  equipment;
(7) Attending court
				  hearings for children in OKDHS and tribal custody;
(8) Forwarding quarterly progress reports to
				  the OKDHS Child Welfare Services (CWS) specialist for children in OKDHS
				  custody;
(9) Notifying the CWS or
				  legally authorized representative of needed medical consents for pre-planned or
				  emergency services; and
(10)
				  Completing the appropriate section of OKDHS Form 06AC024E, SFC/Agency Companion
				  Services (ACS) Annual Review, and providing the information to the DDS
				  SSS.
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Amended at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-58 - Developmental Disabilities Services (DDS) Social Services Specialist (SSS) roles and responsibilities

Current through Vol. 41, No. 20, July 1, 2024
DDS SSS staff have the responsibility for:
(1) SFC applicant orientation and
				  prescreening;
(2) Making contact
				  with the potential SFC provider within five(5) working days of receiving a
				  completed application to schedule interviews and start the home profile
				  process, per OAC
				  317:40-5-40;
(3) Completing the home profile within ninety
				  (90) calendar days after application assignment. The DDS SSS documents the
				  reason for any delay beyond ninety (90) calendar days;
(4) Maintaining regular contact with the SFC
				  provider by making a monitoring visit every six(6) months and completing OKDHS
				  Form 06AC023E, Monitoring Report;
(5) Completing OKDHS Form 06AC024E,
				  Specialized Foster Care/Agency Companion Annual Review (DDS-24) for the annual
				  re-evaluation of each SFC provider home by the renewal date;
(6) Attending member's Personal Support Team
				  meetings as necessary;
(7)
				  Responding to SFC and respite care requests;
(8) Providing technical assistance and
				  training to SFC providers regarding claims and problem resolutions, such as:
(A) Payments;
(B) Family dynamics;
(C) DDS policy;
(D) Setting up the in-home record per OAC
				  340:100-3-40;
(E) Setting up the SFC provider record;
				  and
(F) SFC provider
				  training.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-59 - Back-up Plan for members receiving Specialized Foster Care (SFC)

Current through Vol. 41, No. 20, July 1, 2024
Prior to a member moving into SFC, the SFC provider and
					 the Developmental Disabilities Services (DDS) social services specialist (SSS)
					 develop a Back-up Plan. The DDS SSS communicates the Back-Up Plan in writing to
					 the DDS case manager for incorporation into the Individual Plan.
(1) The Back-up Plan identifies the person(s)
				  who provides emergency back-up supports.
(2) The member's natural family is considered
				  as the first resource for the Back-up Plan at no cost to Oklahoma Human
				  Services (OKDHS), unless the member is in OKDHS or tribal custody.
(3) The Back-up Plan contains the name(s) and
				  current phone number(s) of the person(s) providing back-up service.
(4) When paid SFC providers are necessary,
				  the Back-up Plan explains specifically where the service is to be provided.
(A) If back-up service is to be provided
				  outside the SFC home:
(i) By a volunteer or at
				  a camp, retreat, or conference center, the Personal Support Team's process must
				  be followed as described in OAC
				  317:40-5-56;
				  or
(ii) In a contracted SFC
				  provider's home, a home profile must be completed for the back-up staff per OAC
				  317:40-5-40.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-60

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Amended at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-61 - Investigations of alleged abuse or neglect of a service recipient in a specialized foster care home [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg 3855, eff 7-1-98 (emergency) ; Added
						at 16 Ok Reg 1445, eff 5-27-99 ; Amended at 22 Ok Reg 2559, eff 7-11-05 ;
						Revoked at 30 Ok Reg 1268, eff 7-1-13
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-62 - Specialized Foster Care (SFC) policy violations or program concerns

Current through Vol. 41, No. 20, July 1, 2024
(a) Developmental
				  Disabilities Services DDS SFC staff begin an evaluation upon receipt of a
				  complaint or observation of SFC provider policy violations or
				  concerns.
(b) Concerns may include
				  the SFC provider's:
(1) Use of
				  judgment;
(2) Provision of program
				  supervision;
(3) Non-compliance
				  with Oklahoma Human Services or Oklahoma Health Care Authority policy or
				  contract; or
(4) Other related
				  issues.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-63 - Plan of action in Specialized Foster Care

Current through Vol. 41, No. 20, July 1, 2024
(a) When a program concern or a violation of
				  policy or contract is found in a Specialized Foster Care (SFC) home, a Plan of
				  Action, (DDS-28) is initiated.
(b)
				  The Plan of Action:
(1) is a joint effort
				  between the provider and SFC staff;
(2) ensures that necessary services to the
				  service recipient are not interrupted;
(3) states recommendations regarding the
				  continued use of the provider home;
(4) is time limited; and
(5) is agreed upon by DDSD and the
				  provider.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-64 - Termination of a Specialized Foster Care Provider

Current through Vol. 41, No. 20, July 1, 2024
(a) In the event that a provider fails to
				  provide services as required by rules or contract, Developmental Disabilities
				  Services Division (DDSD) notifies the Oklahoma Health Care Authority (OHCA) and
				  the Oklahoma Department of Human Services (OKDHS) Contracts Unit, to terminate
				  the Specialized Foster Care (SFC) provider's contract. Such termination is not
				  an exclusive remedy but is in addition to any other rights and remedies
				  provided by law.
(b) Possible
				  reasons for termination of a provider include, but are not limited to:
(1) provider request;
(2) non-cooperation in determining compliance
				  with standards, policy, or contract;
(3) confirmed abuse, neglect, or exploitation
				  of any other person;
(4) breach of
				  confidentiality;
(5) involvement in
				  criminal activity or criminal activity in the home;
(6) failure to provide for the care and
				  well-being of the member;
(7)
				  continued failure to implement the member's Plan;
(8) failure to complete and maintain required
				  provider training;
(9) failure to
				  report changes in the household;
(10) continued failure to follow OKDHS or
				  OHCA rules;
(11) decline of the
				  provider's health to the point that he or she can no longer meet the needs of
				  the member;
(12) employment by the
				  provider without prior approval by the area program manager for residential
				  services;
(13) domestic disputes
				  that may result in emotional instability of the member;
(14) failure to complete a plan of action,
				  per OAC
				  317:40-5-63,
				  as agreed; or
(15) failure or
				  inability of the home to meet standards per OAC
				  317:40-5-40.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-65 - Change of placement for children and foster parent notification [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Revoked at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 5 - SPECIALIZED FOSTER CARE STANDARDS › Section 317:40-5-66 - Dispute and grievance procedures for Specialized Foster Care providers

Current through Vol. 41, No. 20, July 1, 2024
(a)
Legal
				  Base.
Section
				  7213 of
				  Title 10 of the Oklahoma Statutes directs the Oklahoma Department of Human
				  Services (Department) to establish grievance procedures for Specialized Foster
				  Care (SFC) providers that resolve disputes quickly, informally, at the lowest
				  possible level, but that provide for access to impartial arbitration by
				  personnel within the central office. Resolution of grievances must be prompt
				  and within established time frames. Each SFC provider shall have the right,
				  without fear of reprisal or discrimination, to present grievances with respect
				  to the provision of SFC services.
(b)
Inquiries.
Not all SFC
				  provider inquiries or requests for explanation are to be considered as disputes
				  that need a written supervisory review or the initiation of the grievance
				  procedure. Most inquiries or requests are handled within the regular
				  relationship between the SFC specialist and SFC provider within 5 working
				  days.
(c)
Unresolved
				  complaints or disputes.
When a complaint or dispute between the DDSD
				  staff member and the SFC provider cannot be resolved, the SFC provider is
				  entitled to a supervisory review regarding the issue within 10 working days. If
				  the supervisory review does not resolve the dispute with the SFC provider, then
				  a grievance can be initiated by the provider in accordance with OAC
				  340:2-3-50.
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Amended at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 7 - STANDARDS AND GUIDELINES FOR SPECIALIZED FOSTER CARE › Section 317:40-5-75 - Standards for Specialized Foster Care and respite homes [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Revoked at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 7 - STANDARDS AND GUIDELINES FOR SPECIALIZED FOSTER CARE › Section 317:40-5-76 - Guidelines for home profile [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 15 Ok Reg
					 3855, eff 7-1-98 (emergency); Added at 16 Ok Reg 1445, eff 5-27-99; Revoked at
					 22 Ok Reg 2559, eff 7-11-05
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-100 - Assistive technology (AT) devices and services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Applicability.
This Section applies to AT services and devices
				  authorized by Oklahoma Human Services (OKDHS) Developmental Disabilities
				  Services (DDS) through Home and Community-Based Services (HCBS)
				  Waivers.
(b)
General
				  information.
(1) AT devices include
				  the purchase, rental, customization, maintenance, and repair of devices,
				  controls, and appliances. AT devices include:
(A) Visual alarms;
(B) Telecommunication devices;
(C) Telephone amplifying devices;
(D) Devices for the protection of health and
				  safety of members who are deaf or hard of hearing;
(E) Tape recorders;
(F) Talking calculators;
(G) Specialized lamps;
(H) Magnifiers;
(I) Braille writers;
(J) Braille paper;
(K) Talking computerized devices;
(L) Devices for the protection of health and
				  safety of members who are blind or visually impaired;
(M) Augmentative and alternative
				  communication devices including language board and electronic communication
				  devices;
(N) Competence-based cause
				  and effect systems, such as switches;
(O) Mobility and positioning devices
				  including:
(i) Wheelchairs;
(ii) Travel chairs;
(iii) Walkers;
(iv) Positioning systems;
(v) Ramps;
(vi) Seating systems;
(vii) Standers;
(viii) Lifts;
(ix) Bathing equipment;
(x) Specialized beds;
(xi) Specialized chairs;
				  and
(P) Orthotic and
				  prosthetic devices, including:
(i)
				  Braces;
(ii) Precribed modified
				  shoes;
(iii) Splints;
				  and
(Q) Environmental
				  controls or devices;
(R) Items
				  necessary for life support, and devices necessary for the proper functioning of
				  such items, including durable and non-durable medical equipment not available
				  through SoonerCare (Medicaid);
(S)
				  Enabling technology devices to protect the member's health and safety or
				  support increased independence in the home, employment site or community can
				  include, but are not limited to:
(i) Motion
				  sensors;
(ii) Smoke and carbon
				  monoxide alarms;
(iii) Bed or chair
				  sensors;
(iv) Door and window
				  sensors;
(v) Pressure sensors in
				  mats on the floor;
(vi) Stove
				  guards or oven shut off systems;
(vii) Live web-based remote
				  supports;
(viii) Cameras;
(ix) Medication dispenser systems;
(x) Software to operate accessories included
				  for environmental control;
(xi)
				  Software applications;
(xii)
				  Personal Emergency Response Systems or mobile;
(xiii) Emergency Response Systems;
(xiv) Global positioning system monitoring
				  devices;
(xv) Radio frequency
				  identification;
(xvi) Computers,
				  smart watches and tablets; and
(xvii) Any other device approved by the DDS
				  director or designee;
(T)
				  Eye glasses lenses, frames or visual aids.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-102 - Nutrition services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Applicability.
The rules in this Section apply to nutrition
				  services authorized for members who receive services through Home and
				  Community-Based Services (HCBS) Waivers operated by the Oklahoma Human Services
				  (OKDHS) Developmental Disabilities Services (DDS).
(b)
General information.
Nutrition services include nutritional evaluation and consultation to members
				  and their caregivers, are intended to maximize the member's health and are
				  provided in any community setting as specified in the member's Individual Plan
				  (Plan). Nutrition services must be prior authorized, included in the member's
				  Plan and arrangements for this service must be made through the member's case
				  manager. Nutrition service contract providers must be licensed in the state
				  where they practice and registered as a dietitian with the Commission of
				  Dietetic Registration. Each dietitian must have a current provider agreement
				  with the Oklahoma Health Care Authority to provide HCBS, and a SoonerCare
				  (Medicaid) provider agreement for nutrition services. Nutrition services are
				  provided per Oklahoma Administrative Code (OAC)
				  340:100-3-33.1. In order for the
				  member to receive Waiver-funded nutrition services, the requirements in this
				  Section must be fulfilled.
(1) The member
				  must be assessed by the case manager to have a possible eating problem or
				  nutritional risk.
(2) The member
				  must have an order for nutrition services current within one (1) year signed by
				  a medical or osteopathic physician, physician assistant, or other licensed
				  health care professional with prescriptive authority.
(3) Per OAC
				  340:100-5-50 through 58, the
				  Personal Support Team (Team) identifies and addresses member needs.
(4) Nutrition services may include
				  evaluation, planning, consultation, training and monitoring.
(5) A legally competent adult or legal
				  guardian who has been informed of the risks and benefits of the service has the
				  right to refuse nutrition services per OAC
				  340:100-3-11. Refusal of
				  nutrition services must be documented in the Plan.
(6) A minimum of fifteen (15) minutes for
				  encounter and record documentation is required.
(7) A unit is fifteen (15) minutes.
(8) Nutrition services are limited to one
				  hundred ninety-two (192) units per Plan of Care year.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-103 - Transportation

Current through Vol. 41, No. 20, July 1, 2024
(a)
Applicability.
The rules in this Section apply to transportation
				  services provided through Oklahoma Human Services, Developmental Disabilities
				  Services (DDS); Home and Community-Based Services (HCBS) Waivers.
(b)
General Information.
Transportation services include adapted, non-adapted, and public
				  transportation.
(1) Transportation services
				  are provided to promote inclusion in the community, access to programs and
				  services, and participation in activities to enhance community living skills.
				  Members are encouraged to utilize natural supports or community agencies that
				  can provide transportation without charge before accessing transportation
				  services.
(2) Services include, but
				  are not limited to, transportation to and from medical appointments, work or
				  employment services, recreational activities, and other community activities
				  within the number of miles authorized in the Plan of Care (POC).
(A) Adapted or non-adapted transportation may
				  be provided for each eligible person.
(B) Public transportation may be provided up
				  to a maximum of $15,000 per POC year. The DDS director or designee may approve
				  requests for public transportation services totaling more than $$15,000 per
				  year when public transportation promotes the member's independence, is the most
				  cost-effective option or only service option available for necessary
				  transportation. For the purposes of this Section, public transportation is
				  defined as:
(i) Services, such as an
				  ambulance when medically necessary, a bus, or a taxi; or
(ii) A transportation program operated by the
				  member's employment services or day services
				  provider.
(3)
				  Transportation services must be included in the member's Individual Plan (Plan)
				  and arrangements for this service must be made through the member's case
				  manager.
(4) Authorization of
				  Transportation Services is based on:
(A)
				  Personal Support Team (Team) consideration, per Oklahoma Administrative Code
				  (OAC) 340:100-5-52, of the unique needs
				  of the person and the most cost effective type of transportation services that
				  meets the member's need, per (d) of this Section; and
(B) The scope of transportation services as
				  explained in this Section.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-104 - Medical supplies, equipment, and appliances

Current through Vol. 41, No. 20, July 1, 2024
(a)
Applicability.
This section
				  applies to medical supplies, equipment, and appliances provided through home
				  and community-based waiver services (HCBS) operated by the Oklahoma Department
				  of Human Services (OKDHS) Developmental Disabilities Services (DDS).
(b)
General information.
Medical
				  supplies, equipment, and appliances include supplies specified in the plan of
				  care that enable the member to increase his or her ability to perform
				  activities of daily living. Medical supplies, equipment, and appliances include
				  the purchase of additional supplies not available through SoonerCare.
(1) Medical supplies, equipment, and
				  appliances are included in the member's plan, when prescribed by a physician
				  with a SoonerCare contract, and arrangements for this service must be made
				  through the member's case manager. Items reimbursed with HCBS funds are in
				  addition to supplies furnished by SoonerCare.
(2) Medical supplies, equipment, and
				  appliances meet the criteria for service necessity, per Oklahoma Administrative
				  Code (OAC)
				  340:100-3-33.1.
(3) All items must meet applicable
				  standards of manufacture, design, and installation.
(4) Medical supplies, equipment, and
				  appliance providers must hold a current SoonerCare Durable Medical Equipment
				  (DME) and/or Medical Supplies Provider Agreement with the Oklahoma Health Care
				  Authority, and be registered to do business in Oklahoma or in the state in
				  which they are domiciled. Providers must enter into the agreement giving
				  assurance of ability to provide products and services and agree to the audit
				  and inspection of all records concerning goods and services provided.
(5) Specialized medical supplies,
				  equipment, and appliances include:
(A)
				  Incontinence supplies, per subsection (b) of this Section;
(B) Nutritional supplements;and
(C) Supplies needed for health conditions.
(6) Items that cannot
				  be purchased as medical supplies, equipment, and appliances include:
(A) Over-the-counter medications(s);
(B) Personal hygiene items;
(C) Medicine cups;
(D) Items that are not medically necessary;
(E) Prescription medication(s);
				  and
(F) Incontinence wipes not
				  used in conjunction with incontinence briefs or incontinence
				  underwear/pull-ons.
(7)
				  Medical supplies, equipment, and appliances must be:
(A) Necessary to address a medical condition;
(B) Of direct medical or remedial
				  benefit to the member;
(C) Medical
				  in nature; and
(D) Consistent with
				  accepted health care practice standards and guidelines for the prevention,
				  diagnosis, or treatment of symptoms of illness, disease, or disability.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-105 - RESERVED

Current through Vol. 41, No. 20, July 1, 2024
Reserved at 18 Ok Reg
					 1168, eff 5-11-01
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-106 - RESERVED

Current through Vol. 41, No. 20, July 1, 2024
Reserved at 18 Ok Reg
					 1168, eff 5-11-01
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-107 - RESERVED

Current through Vol. 41, No. 20, July 1, 2024
Reserved at 18 Ok Reg
					 1168, eff 5-11-01
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-108 - RESERVED

Current through Vol. 41, No. 20, July 1, 2024
Reserved at 18 Ok Reg
					 1168, eff 5-11-01
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-109 - RESERVED

Current through Vol. 41, No. 20, July 1, 2024
Reserved at 18 Ok Reg
					 1168, eff 5-11-01
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-110 - Authorization for Habilitation Training Specialist Services

Current through Vol. 41, No. 20, July 1, 2024
(a) Habilitation Training Specialist (HTS)
				  Services are:
(1) authorized as a result of
				  needs identified by the team and informed selection by the SoonerCare
				  member;
(2) shared among SoonerCare
				  members who are members of the same household or being served in the same
				  community location;
(3) authorized
				  only during periods when staff are engaged in purposeful activity which
				  directly or indirectly benefits the service recipient. Staff must be physically
				  able and mentally alert to carry out the duties of the job. At no time are HTS
				  services authorized for periods during which the staff are allowed to
				  sleep;
(4) not authorized to be
				  provided in the home of the HTS unless the SoonerCare member and HTS reside in
				  the same home; and
(5) directed
				  toward the development or maintenance of a skill in order to achieve a
				  specifically stated outcome. The service provided is not a function which the
				  parent would provide for the individual without charge as a matter of course in
				  the relationship among members of the nuclear family when the member resides in
				  a family home.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-111 - Authorization for Habilitation Training Specialist Services in the Homeward Bound Waiver

Current through Vol. 41, No. 20, July 1, 2024
(a) Habilitation
				  Training Specialist (HTS) Services are authorized as a result of needs
				  identified by the Personal Support Team and informed service recipient
				  selection.
(b) HTS Services may be
				  provided in the Homeward Bound waiver in service settings including:
(1) agency companion services as described in
				  OAC
				  317:40-5-1
				  through OAC
				  317:40-5-39;
(2) daily living supports as described in OAC
				  317:40-5-153;
(3) specialized foster care as described in
				  OAC
				  317:40-5-50
				  through OAC
				  317:40-5-76;
(4) group home services as described in OAC
				  317:40-5-152;
				  and
(5) the class member's own
				  home, family's home, or other community residential setting.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-112 - Dental services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Applicability.
Coverageapplies to members:
(1) receiving dental services through the
				  Homeward Bound Waiver; and
(2) 21
				  years of age and older receiving dental services through the Community Waiver
				  or In-Home Supports Waiver for adults.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 9 - SERVICE PROVISIONS › Section 317:40-5-113 - Adult Day Services

Current through Vol. 41, No. 20, July 1, 2024
(a)
Introduction.
Adult Day Services are provided by agencies approved
				  by the Developmental Disabilities Services Division (DDSD) of the Oklahoma
				  Department of Human Services (OKDHS) that have a valid Oklahoma Health Care
				  Authority contract for providing Adult Day Services. This service is available
				  through the Community Waiver, Homeward Bound Waiver and through the In-Home
				  Supports Waiver for Adults. Adult Day Services is a structured, comprehensive
				  program that provides a variety of health, social, and related support services
				  in a protective environment for some portion of a day. Individuals who
				  participate in adult day services receive these services on a planned basis
				  during specified hours. Adult day services are designed to work toward the
				  goals of:
(1) promoting the member's maximum
				  level of independence;
(2)
				  maintaining the member's present level of functioning as long as possible,
				  preventing or delaying further deterioration;
(3) assisting the member in achieving the
				  highest level of functioning possible;
(4) providing support, respite, and education
				  for families and other caregivers; and
(5) fostering socialization and peer
				  interaction.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 11 - OTHER COMMUNITY RESIDENTIAL SUPPORTS › Section 317:40-5-150 - Daily Living Supports for the Community Waiver

Current through Vol. 41, No. 20, July 1, 2024
(a)
Introduction.
Daily Living
				  Supports (DLS) are provided by an agency, approved by the Developmental
				  Disabilities Services Division (DDSD), that has a valid Oklahoma Health Care
				  Authority contract for the service.
(1) Daily
				  Living Supports require meeting the daily support needs of the members living
				  in the home.
(A) In accordance with the needs
				  of the member, Daily Living Supports include hands-on assistance, supervision,
				  or prompting so that the member performs the task, such as eating, bathing,
				  dressing, toileting, transferring, personal hygiene, light housework, money
				  management, community safety, recreation, social, health, or medication
				  management.
(B) Daily Living
				  Supports also include assistance with cognitive tasks or provision of services,
				  per OAC
				  340:100-5-57,
				  to prevent a member from harming self or others.
(C) Daily Living Supports also include:
(i) the provision of staff training per OAC
				  340:100-3-38,
				  to meet the specific needs of the member;
(ii) program supervision that includes the
				  24-hour availability of response staff to meet schedules and unpredictable
				  needs;
(iii) program
				  oversight;
(iv) assisting the
				  member in obtaining services and supplies;
(v) developing and assuring emergency plans
				  are in place; and
(vi) coordinating
				  overall safety and supports in the home.
(D) Direct support services are coordinated
				  and shared among household members receiving services to meet identified needs
				  and are provided by staff who do not live in the home.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 11 - OTHER COMMUNITY RESIDENTIAL SUPPORTS › Section 317:40-5-151 - Intensive Personal Supports

Current through Vol. 41, No. 20, July 1, 2024
(a)
Introduction.
Intensive Personal Supports are support services
				  which are provided to eligible persons who need a more enhanced level of direct
				  support in order to successfully reside in a community based setting. Intensive
				  Personal Supports build upon the level of support provided by a Habilitation
				  Training Specialist or Daily Living Supports staff by utilizing a second staff
				  person on duty to provide assistance and training in self-care, daily living,
				  recreational, and habilitation activities.
(b)
Eligibility.
Intensive
				  Personal Supports are provided by OHCA contracted provider agencies to
				  individuals who:
(1) are eighteen years of
				  age of older, unless approved by the Director of DHS or designee;
(2) receive Daily Living Supports and meet
				  the criteria for additional Daily Living Supports given in subsection (f) of
				  OAC
				  317:40-5-150;
				  and
(3) require a second support
				  staff in order to meet their intensive behavioral or medical support needs,
				  when there is no other resolution.
Oklahoma Administrative Code › Title 317 - Oklahoma Health Care Authority › Chapter 40 - Developmental Disabilities Services › Subchapter 5 - Member Services › Part 11 - OTHER COMMUNITY RESIDENTIAL SUPPORTS › Section 317:40-5-152 - Group home services for persons with an intellectual disability or certain persons with related conditions

Current through Vol. 41, No. 20, July 1, 2024
(a)
General Information.
Group homes provide a congregate living
				  arrangement offering up to twenty-four (24) hours per day supervision,
				  supportive assistance, and training in daily living skills to persons who are
				  eligible and eighteen (18) years of age or older. Upon approval of the Oklahoma
				  Department of Human Services OKDHS Developmental Disabilities Services (DDS)
				  director or designee, persons younger than eighteen (18) years of age may be
				  served.
(1) Group homes ensure members reside
				  and participate in the community. Services are provided in homes located in
				  close proximity to generic community services and activities.
(2) Group homes must be licensed by OKDHS per
				  Section
				  1430.1 et
				  seq. of Title 10 of the Oklahoma Statutes.
(3) Residents of group homes receive no other
				  form of residential supports.
(4)
				  Habilitation training specialist (HTS) services or homemaker services for
				  residents of group homes may only be approved by the DDS director or designee:
(A) For a resident of a group home to resolve
				  a temporary emergency when no other resolution exists; or
(B) For a resident of a community living
				  group home when the resident's needs are so extensive that additional supports
				  are needed for identified specific activities; and
(C) Weekly average of fifty-six (56) hours of
				  direct contact staff must be provided to the resident before HTS services may
				  be approved.