Assistive Care Services and Assisted Living for the Elderly Waiver

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