TABLE
OF CONTENTS
CHAPTER He-E 200 ADMINISTRATIVE HEARINGS - EXPIRED
PART
He-E 201 DEFINITIONS
Section
He-E 201.01 Abuse
Section
He-E 201.02
Administrative Hearings
Section
He-E 201.03 Allegation
Section
He-E 201.04 Alleged
Perpetrator
Section
He-E 201.05 Applicant
Section
He-E 201.06 Designee
Section
He-E 201.07
Determination
Section
He-E 201.08 Division
Section
He-E 201.09
Exploitation
Section
He-E 201.10 Founded
Section
He-E 201.11 Hearing
Request
Section
He-E 201.12 Neglect
Section
He-E 201.13 Presiding
Officer
Section
He-E 201.14 Protective
Investigation
Section
He-E 201.15 Recipient
Section
He-E 201.16 Requestor
Section
He-E 201.17 Self-Neglect
Section
He-E 201.18 Settlement
PART
He-E 202
ADMINISTRATIVE HEARING REQUESTS
Section
He-E 202.01 Who
May Request An Administrative Hearing
Section
He-E 202.02 Procedure
For Hearing Requests
Section
He-E 202.03 Denial
of Hearing Requests
Section
He-E 202.04
Postponement of Scheduled Hearing
Section
He-E 202.05 Dismissal
of Scheduled Hearing
Section
He-E 202.06
Continuation of Services During the Hearing Process
PART
He-E 203 HEARING
PROCESS
Section
He-E 203.01 Prehearing
Conferences
Section
He-E 203.02
Responsibilities of DEAS or its Designee
Section
He-E 203.03
Requestor's Responsibilities
Section
He-E 203.04 Prehearing
Conferences
Section
He-E 203.05 Persons
Attending the Hearing
Section
He-E 203.06 Oath
of Affirmation
Section
He-E 203.07 Conduct
of the Hearing
Section
He-E 203.08 Hearing
Division
Section
He-E 203.09 Action
Taken Following the Hearing Division
PART
He-E 204 HEARING
RECORD
Section
He-E 204.01 Retention
of Record
Section
He-E 204.02 Release
of Information From Record
TABLE
OF CONTENTS
CHAPTER He-E 300 DIVISION OF ELDERLY AND ADULT SERVICES
FILES - EXPIRED
PART
He-E 301 DEFINITIONS
Section
He-E 301.01 Adult
Section
He-E 301.02 Alleged
Perpetrator
Section
He-E 301.03 Authorized
Representative
Section
He-E 301.04 Case
Record
Section
He-E 301.05 Designee
Section
He-E 301.06
Determination
Section
He-E 301.07
Disposition
Section
He-E 301.08 Founded
Section
He-E 301.09
Investigation Not Completed
Section
He-E 301.10 No
Investigation Done
Section
He-E 301.11 Protective
Services
Section
He-E 301.12 Title
XX Social Services
Section
He-E 301.13 Unable
to Locate
Section
He-E 301.14 Unfounded
PART
He-E 302 TYPES
OF DEAS FILES
Section
He-E 302.01 Protective
Investigation Files
Section
He-E 302.02 Case
Records
Section
He-E 302.03
Statistical Information
PART
He-E 303 PROTECTIVE
INVESTIGATION FILES
Section
He-E 303.01 Retention
of Protective Investigation Files
Section
He-E 303.02 Who
May Request Information From the Protective Investigation File
Section
He-E 303.03 Procedures
for Releasing Information From Protective Files
PART
He-E 304 CASE
RECORDS
Section
He-E 304.01 Retention
of Information Contained in Case Records
Section
He-E 304.02 Who
May Request Information From Case Records
Section
He-E 304.03 Procedures
for Requesting Information From Case Records
PART
He-E 305 STATISTICAL
INFORMATION
Section
He-E 305.01 Who
May Request Statistical Information
Section
He-E 305.02 Procedures
for Requesting Statistical Information
TABLE OF CONTENTS
CHAPTER He-E 500 SOCIAL
SERVICES
PART He-E 501 THE SOCIAL SERVICES BLOCK GRANT (TITLE
XX)
Section He-E 501.01 Purpose and Goals
Section He-E 501.02 Definitions
Section He-E 501.03 Confidentiality
Section He-E 501.04 Title XX Services
Section He-E 501.05 Eligibility Requirements for Services
Section He-E 501.06 Application Requirements and Process
Section He-E 501.07 Determination, Notice of Eligibility,
and Eligibility Period
Section He-E 501.08 Individual’s Responsibility to Report
Changes
Section He-E 501.09 Redetermination of Service Eligibility
Section He-E 501.10 Termination of Services
Section He-E 501.11 Informal Resolution
Section He-E 501.12 Administrative Hearing and Provisions
of Services During the Administrative Appeal Process
Section He-E 501.13 Provider
Requirements
Section He-E 501.14 Fees for Title
XX Services
Section He-E 501.15 Wait Lists
Section He-E 501.16 Service
Authorization
Section He-E 501.17 Service
Records
Section He-E 501.18 Title XX
Services Added During the Eligibility Period
Section He-E 501.19 Relocation and
Title XX Services
Section He-E 501.20 Cessation of
Title XX Services by a Provider
Section He-E 501.21 Vendor
Requirements
Section He-E 501.22 Person-Centered
Plan
Section He-E 501.23 Adult Day
Services
Section He-E 501.24 Essential
Services
Section He-E 501.25 Home-Delivered
Meals
Section He-E 501.26 In-Home Care
Services
Section He-E 501.27 Waivers
PART
He-E 502 OLDER
AMERICANS ACT SERVICES: TITLE IIIB –
SUPPORTIVE SERVICES, TITLE IIIC1 AND C2 – NUTRITION PROGRAM POLICIES, AND TITLE
IIID – DISEASE PREVENTION AND HEALTH PROMOTION SERVICES
Section He-E 502.01 Purpose and Goals
Section He-E 502.02 Definitions
Section He-E 502.03 Confidentiality
Section He-E 502.04 Title III Services
Section He-E 502.05 Eligibility Requirements for Services
Section He-E 502.06 Service Requests and Process
Section He-E 502.07 Determination, Notice of Eligibility,
and Eligibility Period
Section He-E 502.08 Redetermination of Service Eligibility
Section He-E 502.09 Termination or Significant Alteration
of Services
Section He-E 502.10 Informal Resolution
Section He-E 502.11 Contract Agency Requirements
Section He-E 502.12 Voluntary Donations
Section He-E 502.13 Wait Lists
Section He-E 502.14 Service Authorization
Section He-E 502.15 Service Records
Section He-E 502.16 Cessation of Title III Services by a
Contract Agency
Section He-E 502.17 Person-Centered Plan
Section He-E 502.18 Adult Day Program Services
Section He-E 502.19 Adult In-Home Care Services
Section He-E 502.20 Alcohol and Substance Abuse Prevention
Services
Section He-E 502.21 Dental Services
Section He-E 502.22 Elder Abuse Counseling
Section He-E 502.23 Home Health Aide Services
Section He-E 502.24 Homemaker Services
Section He-E 502.25 Legal Services
Section He-E 502.26 Low Vision Services
Section He-E 502.27 Nursing Services
Section He-E 502.28 Nutrition Services: Congregate Meals
Section He-E 502.29 Nutrition Services: Home-Delivered
Meals
Section He-E 502.30 Prevention
Services
Section He-E 502.31 Transportation
PART He-E 503 ALZHEIMER'S RESPITE CARE SERVICE
Section He-E 503.01 Purpose
Section He-E 503.02 Definitions
Section He-E 503.03 Eligibility
Section He-E 503.04 Person-Centered Respite Care Plan
Section He-E 503.05 ADRD Respite Settings
Section He-E 503.06 Contract Agency Responsibilities
Section He-E 503.07 ADRD Spending Plan
Section He-E 503.08 Financial Management Services
Section He-E 503.09 Waitlist
Section He-E 503.10 Waivers
PART He-E 504 METHOD OF SERVICE PROVISION - EXPIRED
PART He-E 505 PAYMENT FOR SERVICES - EXPIRED
PART He-E 506 APPLICATION PROCESS - EXPIRED
PART He-E 507 SERVICE AGREEMENT - EXPIRED
PART He-E 508 PLAN OF CARE - EXPIRED
PART He-E 509 SERVICE RECORD - EXPIRED
PART He-E 510 MODES OF SERVICE - EXPIRED
PART He-E 511 EVALUATION AND MONITORING OF SERVICE
PROVISION - EXPIRED
PART He-E 512 REDETERMINATION OF ELIGIBILITY FOR
ADRD RESPITE CARE SERVICE - EXPIRED
PART He-E 513 TRAINING - EXPIRED
TABLE OF CONTENTS
CHAPTER
He-E 600 DEAS SOCIAL SERVICES
PARTS
He-E 601 through He-E 604 - RESERVED
PART
He-E 605 STANDARD
DISCLOSURE SUMMARY
Section
He-E 605.01 Purpose
Section
He-E 605.02 Scope
Section
He-E 605.03
Definitions
Section
He-E 605.04 Completion
of the Standard Disclosure Summary
PART
He-E 606 ADULT
IN-HOME CARE SERVICE - EXPIRED
Section
He-E 606.01 Purpose
Section
He-E 606.02
Definitions
Section
He-E 606.03 Service
Unit
Section
He-E 606.04
Application
Section
He-E 606.05
Eligibility Requirements
Section
He-E 606.06
Eligibility Determination Process
Section
He-E 606.07
Notification of Applicant
Section
He-E 606.08 Maximum
Number of Service Hours
Section
He-E 606.09
Redetermination of Eligibility
Section
He-E 606.10 Suspension
of Service Provision
Section
He-E 606.11
Termination of Service Provision
Section
He-E 606.12 Provider
Qualifications
Section
He-E 606.13
Administrative Responsibilities of Contract Agencies
Section
He-E 606.14 Service
Activities
Section
He-E 606.15 Payment
For Adult In-Home Care
PARTS He-E 607 through He-E 610 - RESERVED
PART
He-E 611 CONGREGATE
HOUSING SERVICES PROGRAM - EXPIRED
Section
He-E 611.01 Purpose
of Rules
Section
He-E 611.02 Purpose
of CHSP Services
Section
He-E 611.03
Definitions
Section
He-E 611.04
Administrative Responsibilities of DEAS
Section
He-E 611.05
Administrative Responsibilities of the Contract Agency
Section
He-E 611.06 Summary
of CHSP Services
Section
He-E 611.07 The
CHSP Contracting Process
Section
He-E 611.08 Renewal
of Contract
Section
He-E 611.09
Application for CHSP Services
Section
He-E 611.10
Eligibility for CHSP Services
Section
He-E 611.11 Service
Plan
Section
He-E 611.12 Fees
Section
He-E 611.13 Service
Record
Section
He-E 611.14 Monitoring
of Service Plan
Section
He-E 611.15
Redetermination of Eligibility
Section
He-E 611.16
Termination of CHSP Services
Section
He-E 611.17 Adult
Group Day Care
Section
He-E 611.18 Case
Management
Section
He-E 611.19 Health
Maintenance
Section
He-E 611.20 Homemaker
Assistance
Section
He-E 611.21 Meals
Section
He-E 611.22 Personal
Assistance
Section
He-E 611.23 Personal
Emergency Response System
Section
He-E 611.24
Transportation
TABLE OF CONTENTS
CHAPTER
He-E 700 ADULT PROTECTION SERVICES PROGRAM
PART He-E 701 OVERVIEW
Section He-E 701.01 Purpose
Section He-E 701.02 Definitions
Section He-E 701.03 Protective Reports
Section He-E 701.04 Protective Investigation Requirements
Section He-E 701.05 Dispositions
Section He-E 701.06 Interviews
Section He-E 701.07 Investigation Responsibilities and the
Determination
Section He-E 701.08 Purpose of a Review
Section He-E 701.09 Registry Eligible Alleged Perpetrator
Review Prior to Completion of the Investigation
Section He-E 701.10 Notification Following a Review of a
Registry Eligible Alleged Perpetrator
Section He-E 701.11 Retention of Protective Investigation
Material
Section He-E 701.12 Notification Following Investigation
Section He-E 701.13 Purpose of Reconsideration
Section He-E 701.14 Request for Non-Registry Eligible
Reconsideration
Section He-E 701.15 Notification Following a Non-Registry
Eligible Reconsideration
Section He-E 701.16 Appeal Rights
Section He-E 701.17 Opening a Protective Services Program
Case
Section He-E 701.18 Protective Services
Section He-E 701.19 Role of the
Section He-E 701.20 Guardianship Hearing
Section He-E 701.21 Releasing Information
Section He-E 701.22 Who May Receive Information
Section He-E 701.23 The
PART He-E 720 BUREAU OF ELDERLY AND ADULT SERVICES
STATE REGISTRY
Section He-E 720.01 Purpose
Section He-E 720.02 Scope
Section He-E 720.03 Definitions
Section He-E 720.04 State Registry
Section He-E 720.05 Waiver for Employment
Section He-E 720.06 Confidentiality and Release of
Information
TABLE OF CONTENTS
CHAPTER
He-E 800 MEDICAL ASSISTANCE
PART He-E 801 CHOICES FOR
Section He-E 801.01 Purpose
Section He-E 801.02 Definitions
Section He-E 801.03 Eligibility
Section He-E 801.04 Initial Clinical Eligibility
Determination
Section He-E 801.05 Development of the Comprehensive Care Plan
Section He-E 801.06 Service
Authorization
Section He-E 801.07 Redetermination of Eligibility and Service Authorization
Section He-E 801.08 Request for Clinical Redetermination After Clinical Denial
Section He-E 801.09 Cost Control Methodology
Section He-E 801.10 Post-Eligibility Computation of Cost
of Care for CFI Waiver Services
Section He-E 801.11 Covered Services and Requirements of
Service Provision
Section He-E 801.12 Non-Covered Services
Section He-E 801.13 Adult Family Care
Section He-E 801.14 In-Home Care Services
Section He-E 801.15 Adult Day Services
Section He-E 801.16 Community Transition Services
Section He-E 801.17 Environmental Accessibility Services
Section He-E 801.18 Financial Management Services
Section He-E 801.19 Home Delivered Meals Services
Section He-E 801.20 Home Health Aide Services
Section He-E 801.21 Homemaker Services
Section He-E 801.22 Non-Medical Transportation Services
Section He-E 801.23 Participant Directed and Managed Care
Services
Section He-E 801.24 Personal Care Services
Section He-E 801.25 Personal Emergency Response Systems
Services
Section He-E 801.26 Residential Care Facility Services
Section He-E 801.27 Respite Care Services
Section He-E 801.28 Skilled Nursing Services
Section He-E 801.29 Specialized Medical Equipment Services
Section He-E 801.30 Supportive Housing Services
Section He-E 801.31 Supported Employment Services
Section He-E 801.32 Provider Participation
Section He-E 801.33 Required Documentation
Section He-E 801.34 Payment for Services
Section He-E 801.35 Utilization Review and Control.
Section He-E 801.36 Third Party Liability
Section He-E 801.37 Waivers
PART He-E 802 NURSING FACILITY SERVICES
Section He-E 802.01 Definitions
Section He-E 802.02 Provider Participation
Section He-E 802.03 Eligibility
Section He-E 802.04 Eligibility Criteria for Atypical
Services
Section He-E 802.05 Clinical Eligibility Determination for
NF Services
Section He-E 802.06 Request for Clinical Redetermination After Clinical Denial
Section He-E 802.07 Utilization Review
Section He-E 802.08 Covered Services
Section He-E 802.09 Covered Atypical Services
Section He-E 802.10 Non-Covered Services
Section He-E 802.11 Residents’ Rights
Section He-E 802.12 Plan of Care
Section He-E 802.13 Room Changes Within the Facility
Section He-E 802.14 Personal Accounts Belonging to
Residents
Section He-E 802.15 Temporary Absence from the Nursing
Facility
Section He-E 802.16 Transfer or Discharge of Residents
Section He-E 802.17 Appealing Transfers or Discharges
Section He-E 802.18 Required Forms
PART He-E 803 ADULT MEDICAL DAY CARE SERVICES
Section He-E 803.01 Purpose
Section He-E 803.02 Definitions
Section He-E 803.03 Adult Medical Day Program Requirements
Section He-E 803.04 Eligibility Requirements to Receive
Adult Medical Day Services
Section He-E 803.05 Notice to the Participant
Section He-E 803.06 Adult Medical Day Services
Section He-E 803.07 Required Documentation
Section He-E 803.08 Payment for Services
Section He-E 803.09 Third Party Liability
Section He-E 803.10 Utilization Review
PART He-E 804 NURSING ASSISTANT TRAINING
REIMBURSEMENT
Section He-E 804.01 Definitions
Section He-E 804.02 Requirements, Conditions and
Limitations
Section He-E 804.03 Application Requirements
Section He-H 804.04 Payment
PART He-E 805 TARGETED CASE MANAGEMENT SERVICES
Section He-E 805.01 Purpose
Section He-E 805.02 Definitions
Section He-E 805.03 Eligibility
Section He-E 805.04 Provider Agency Requirements
Section He-E 805.05 Required Case Management Services
Section He-E 805.06 Qualification Requirements for Case
Managers
Section He-E 805.07 Participant Selection of Case
Management Agency
Section He-E 805.08 Payment for Services
Section He-E 805.09 Third Party Liability
Section He-E 805.10 Quality Management
PART He-E 806 NURSING FACILITY REIMBURSEMENT
Section He-E 806.01 Definitions
Section He-E 806.02 Annual Cost
Reports
Section He-E 806.03 Record Keeping
Requirements
Section He-E 806.04 Accounting
Principles for Annual Cost Reports
Section He-E 806.05 Reimbursement
Based on Actual Allowable Costs
Section He-E 806.06 Routine
Services
Section He-E 806.07 Physician
Services, Psychologist Services and Pharmacist Consultant Services
Section He-E 806.08 Ancillary
Services
Section He-E 806.09 Drugs and
Institutional Pharmacy Costs
Section He-E 806.10 Barber and
Beauty Services
Section He-E 806.11 Motor Vehicle
Expense
Section He-E 806.12 Depreciation
of Equipment and Property
Section He-E 806.13 Leased
Facility and Equipment
Section He-E 806.14 Administrator
Salaries
Section He-E 806.15 Assistant
Administrator Salaries
Section He-E 806.16 Social Workers
Section He-E 806.17 Owners,
Operators, or Their Relatives
Section He-E 806.18 Non-Paid
Workers
Section He-E 806.19 Administrative
Expenses and Administrator Duties
Section He-E 806.20 General County
Government Costs
Section He-E 806.21 Approved
Educational Activities
Section He-E 806.22 Research Costs
Section He-E 806.23 Advertising
Expense
Section He-E 806.24 Home Office
Costs
Section He-E 806.25 Services to
Individuals Other Than Residents
Section He-E 806.26 Other
Non-Allowable Costs
Section He-E 806.27 Interest
Expenses
Section He-E 806.28 Discounts,
Trade Discounts and Refunds of Expenses
Section He-E 806.29 Bad Debts,
Charity and Courtesy Allowances
Section He-E 806.30 Audit
Procedures
Section He-E 806.31 Methodology
for Determining the Per Diem Rate
Section He-E 806.32 Methodology
for Determining the Per Diem Rate for New NF Providers, When Reconstruction
Occurs, and When a Change in Ownership Occurs
Section He-E 806.33 Per Diem Rates
and Payment for Nursing Care
Section He-E 806.34 Medicare
Provider Reimbursement Manual
Section He-E 806.35 Rate Setting
and Payment Limitations For General Nursing Facility Care
Section He-E 806.36 Rate Setting
and Payment Limitations for Atypical Nursing Care
Section He-E 806.37 Reimbursement
for Out-of-State Nursing Care
Section He-E 806.38 Bed Days
Section He-E 806.39 Maintenance of
Resident Funds
Section He-E 806.40 Reconsiderations
for Cost Report Adjustments
Section He-E 806.41 Administrative
Appeals
Section He-E 806.42 Incorrect
Payments
PART He-E 807 NURSING FACILITY ENFORCEMENT REMEDIES - EXPIRED