IL and PLs: Inappropriately Placed Residents

DADS released one information and two provider letters.

Assistant Living Facilities:

The legislature has made changes to the process of removing an inappropriately placed resident. An excerpt:

An inappropriately placed resident is a resident who was appropriate when admitted to the ALF, but whose condition has changed. All residents must be appropriate for the ALF licensure type when admitted to the facility. After admission, if the resident’s condition changes, the resident may no longer be appropriate for the facility’s license. An ALF is not required to keep a resident who is no longer appropriate for the facility’s license. DADS proposes rule amendments to require facilities to include information about the facility’s policies and procedures for aging in place in their disclosure statement.

All ICF/ID with capacity of 13 or fewer beds:

Unless an ICF/ID provider is enrolled in the pilot program, an LVN may not provide on-call services. (Letter)

All Community Services 1915(c) Waiver providers:

Effective January 1, 2012, Medicaid 1915(c) waiver services recipients enrolled in a Medicare Part D prescription drug plan will no longer have to pay for Part D prescription co-payments. (Letter)