New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations › Section 759.5 - Admission, continued stay, and registrant assessment

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The operator shall:
(1) select and admit to and retain in the
					 adult day health care program only those persons for whom adequate care and
					 needed services can be provided and who, according to the comprehensive
					 assessment, can benefit from the services provided on the basis of at least one
					 visit per week to the program;
(2)
					 assess each applicant, unless the assessment was conducted by a managed care
					 organization or care coordination model that referred the applicant to the
					 adult day health care program, utilizing an assessment instrument provided by
					 the Department as part of the admission review process, which assessment shall
					 include at a minimum the following:
(i)
					 medical needs, including the determination that the applicant is expected to
					 need continued service for a period of 30 or more days from the date of the
					 completion of the comprehensive assessment;
(ii) use of medication and required
					 treatment;
(iii) nursing care
					 needs;
(iv) functional
					 status;
(v) mental/behavioral
					 health status;
(vi) sensory
					 impairments;
(vii) rehabilitation
					 therapy needs, including a determination regarding the specific need for
					 physical therapy, occupational therapy, and speech language pathology
					 services;
(viii) family and other
					 informal supports;
(ix) home
					 environment;
(x) psycho-social
					 needs;
(xi) financial
					 status;
(xii) nutritional
					 status;
(xiii) ability to tolerate
					 the duration and method of transportation to the program;
(xiv) evidence of any substance abuse
					 problem; and
(xv) need for HIV risk
					 reduction counseling.
(3) register each applicant only upon
					 recommendation from the applicant's physician and after completion of a
					 personal interview by qualified personnel with the applicant, next of kin
					 and/or sponsor;
(4) register each
					 applicant only after determining that the applicant is not receiving the same
					 services from any other facility or agency;
(5) determine whether the applicant is
					 receiving primary medical care and, if so, where the care is
					 provided;
(6) admit an applicant to
					 the service only after execution of a written agreement which shall include but
					 not be limited to a requirement that:
(i) the
					 applicant agrees to a medical examination at a physician's office, the facility
					 or other appropriate site, within six weeks prior to or seven days after
					 admission ; and
(ii) the operator
					 provides to the applicant, next of kin and/or sponsor a written list of basic
					 services furnished by the facility to registrants and paid for as part of the
					 registrant visit at daily, weekly or monthly rates;
(7) record all financial arrangements with
					 the applicant or designated representative, with copies executed by and
					 furnished to each party;
(8) make
					 no arrangement for prepayment for basic services exceeding one month;
					 and
(9) comply with the provision
					 of financial policies as set forth in the applicable section of this
					 Title.