Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
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<strong>Assistive</strong> <strong>Care</strong> Service <strong>and</strong> <strong>Assisted</strong> <strong>Living</strong> <strong>for</strong> <strong>the</strong> <strong>Elderly</strong> Wavier <strong>Services</strong><br />
Coverage <strong>and</strong> Limitations H<strong>and</strong>book<br />
Assessments <strong>for</strong> RTF Residents, continued<br />
Re-Assessment<br />
Recipients receiving <strong>Assistive</strong> <strong>Care</strong> <strong>Services</strong> must have a complete<br />
assessment at least annually or sooner if a significant change in <strong>the</strong> recipient’s<br />
condition occurs. An annual assessment must be completed no more than<br />
one-year plus fifteen days after <strong>the</strong> last assessment. An assessment triggered<br />
by a significant change must be completed no more than fifteen days after <strong>the</strong><br />
significant change. The assessment must be completed by physician or<br />
licensed mental health professional. The assessment must document <strong>the</strong> need<br />
<strong>for</strong> at least two of <strong>the</strong> four <strong>Assistive</strong> <strong>Care</strong> Service components.<br />
Note: See Part I, Appendix C <strong>for</strong> <strong>the</strong> optional Certification of Medical<br />
Necessity <strong>for</strong>m that may be used <strong>for</strong> this purpose.<br />
Significant Change<br />
Chapter 58A-5.0131, F.A.C., defines significant change as a sudden or<br />
major shift in behavior or mood, or deterioration in health status such as<br />
unplanned weight change, stroke, heart condition, or stage 2, 3, or 4 pressure<br />
sore. Ordinary day-to day fluctuations in functioning <strong>and</strong> behavior, a shortterm<br />
illness such as a cold, or <strong>the</strong> gradual deterioration in <strong>the</strong> ability to carry<br />
out <strong>the</strong> activities of daily living that accompanies <strong>the</strong> aging process are not<br />
considered significant changes.<br />
July 2001 2-12