Page posted: 07/01/02 | Page reviewed: 3/15/11 | Page updated: 5/27/14 |
Legal authority | 42 CFR 456.360, 42 CFR 483.102, (iii) (B) (3), 42 CFR 483.106, 42 CFR 483.112, 42 CFR 483.114, 42 CFR 483.136, 42 CFR 483.440-480, Minn. Stat. §256B.092 and Minn. Stat. §256B.0926 |
Eligibility | To be eligible for admission to an ICF/DD, a person must: · Have a preadmission screening by the county of financial responsibility· Have an individual service plan for the person that clearly identifies the needs and measurable goals that assure active treatment· Meet level of care requirements· Meet the definition of a person with a developmental disability or related condition· Meet the definition of needing 24-hour active treatment. |
Admission review teams | The admission review team is responsible to assure the ICF/DD provider can meet the person’s needs before they move to the ICF/DD. At a minimum, the team includes the following people: · One or more professionals from nursing, psychology, physical therapy or occupational therapy professions · Qualified developmental disabilities professional· Representative of county in which the provider is located · Representative of the ICF/DD being considered for admission.In the absence of an admission review team, the interdisciplinary team may serve as the admission review team. |
Responsibilities | The admission review team and/or interdisciplinary team are responsible to: · Determine if the ICF/DD can provide or arrange for needed services· Identify if ICF/DD staff require special training or skills and if the special training or skills needed will be accomplished by the potential admission date· Review the person’s needs identified in the individual service plan and determine if community-based services are appropriate in place of admission to the ICF/DD· Support that the person needs the level of services provided by the ICF/DD in the DD Screening Document DHS-3067 (PDF). |
Emergency admission | If a person is admitted to an ICF/DD in an emergency, the admission review team must review the person’s admission within the first 14 days of placement in the ICF/DD. |
Process and procedures | 1. The admission review team determines a person needs the level of care provided by an ICF/DD facility.
2. The person applies for admission to the ICF/DD.
3. The facility admissions team meets and accepts or denies admission of the person.
4. Host county concurrence applies where appropriate. |
Documentation | To meet federal requirements, ICFs/DD complete: · Physician Certification DHS-1503 (PDF) before admission to the ICF/DD· ICF/DD Physician Recertification DHS-1743 (PDF) annually.The team must consider the following principles for admission: · Person or their legal representative expresses a preference to receive the services of a particular ICF/DD· Person or their legal representative is given service alternatives and choice among the alternatives· Team determines in case of a ‘waiting list’ which recipient shall be offered services by first using this process· Team determines that continuous active treatment will begin on admission· Team determines the person meets the facility’s admission criteria· Team determines the person’s needs related to health and safety can be met on admission.The facility admissions team must document service planning and assessment information and review team decisions with the person in the individual service plan. |
Additional resources | MHCP Provider Manual – Intermediate care facilities (ICFs/DD) |
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