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Active Treatment

Page posted: 01/01/06

Page reviewed: 02/24/11

Page updated: 01/01/06

Legal Authority

42 CFR 483.440


Active treatment: Aggressive, consistent implementation of a 24-hour program of specialized and generic training, treatment, health services and related services.

ICF/DD Responsibilities

The ICF/DD is responsible for active treatment at the DT&H, services during the day, retirement and any other service(s) billed as a pass through of the ICF/DD. The ICF/DD coordinates consistent training approaches, training materials and integrated opportunities for learning for each 24-hour period.

Compliance Principles

Active treatment is directed toward:

  • • Acquisition of behaviors necessary for the person to function with as much self-determination and independence as possible
  • • Prevention or deceleration of regression or loss of current optimal functional status
  • Each person who resides in an ICF/DD must receive a continuous active treatment program. The Condition of Participation of Active Treatment is met when individuals:

  • • Maintain functioning to the maximum extent possible in the presence of degenerative or other limiting conditions
  • • Have developed increased skills and independence in functional life areas, for example: communication, socialization, toileting, bathing, household tasks
  • • Need continuous, competent training, supervision and support in order to function on a daily basis
  • • Receive continuous, competent training, supervision and support that promotes skills and independence
  • The Condition of Participation of Active Treatment is not met when individuals:

  • • Are able to function independently without continuous training, supervision and support by staff
  • • Are not involved in activities that address their individualized priority needs
  • • Do not have opportunities to practice new or existing skills and make choices in their daily routines
  • • Have decreased functional abilities or have not improved and the ICF/DD has failed to identify barriers and implement a plan to minimize or overcome barriers
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