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