Chapter 514 - Nursing Facility Services - DHHR - State of West ...
Chapter 514 - Nursing Facility Services - DHHR - State of West ...
Chapter 514 - Nursing Facility Services - DHHR - State of West ...
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<strong>514</strong>.4.11 <strong>Services</strong> Provided by Outside Sources .................................................................... 23<strong>514</strong>.5 Qualified Staff .......................................................................................................... 24<strong>514</strong>.5.1 Administrator ........................................................................................................... 24<strong>514</strong>.5.2 Medical Director ....................................................................................................... 24<strong>514</strong>.5.3 Physician <strong>Services</strong> ................................................................................................... 25<strong>514</strong>.5.4 <strong>Nursing</strong> <strong>Services</strong> ..................................................................................................... 25<strong>514</strong>.5.5 Director <strong>of</strong> <strong>Nursing</strong> (DON) ........................................................................................ 26<strong>514</strong>.5.6 Licensed Nurse ........................................................................................................ 26<strong>514</strong>.5.7 Certified Nurse Aide (CNA) ...................................................................................... 26<strong>514</strong>.5.8 Social <strong>Services</strong> ........................................................................................................ 26<strong>514</strong>.5.9 Activities Director ..................................................................................................... 27<strong>514</strong>.5.10 Food and Dietary Director ........................................................................................ 28<strong>514</strong>.6 Eligibility Requirements ........................................................................................... 28<strong>514</strong>.6.1 Application Procedure .............................................................................................. 28<strong>514</strong>.6.2 Pre Admission Screening and Resident Review (PAS) ............................................ 29<strong>514</strong>.6.3 Medical Eligibility Regarding the Pre-Admission Screening ..................................... 29<strong>514</strong>.6.4 Physician Certification ............................................................................................. 31<strong>514</strong>.6.5 Medical Necessity (Level I) ...................................................................................... 31<strong>514</strong>.6.6 Pre Admission Screening and Resident Review (PASRR) (Level II) ........................ 31<strong>514</strong>.6.7 Specialized <strong>Services</strong> for I/DD .................................................................................. 32<strong>514</strong>.6.8 Specialized <strong>Services</strong> for Mental Illness .................................................................... 32<strong>514</strong>.6.9 Fair Hearing Process ............................................................................................... 33<strong>514</strong>.6.10 Contribution to the Cost <strong>of</strong> Care............................................................................... 33<strong>514</strong>.6.11 Admission Policies ................................................................................................... 34<strong>514</strong>.6.12 Physician Recertification <strong>of</strong> Continued Stay ............................................................. 34<strong>514</strong>.7 Mandatory <strong>Services</strong> ................................................................................................. 34<strong>514</strong>.7.1 In-Service Education Program ................................................................................. 34<strong>514</strong>.7.2 Pharmacy <strong>Services</strong> .................................................................................................. 35<strong>514</strong>.7.3 Rehabilitative <strong>Services</strong> ............................................................................................ 36<strong>514</strong>.7.4 Minimum Data Set (MDS) ........................................................................................ 36Department <strong>of</strong> Health and Human Resources <strong>Chapter</strong> <strong>514</strong>: <strong>Nursing</strong> <strong>Facility</strong> <strong>Services</strong> Page 2January 1, 2013DISCLAIMER: This manual does not address all the complexities <strong>of</strong> Medicaid policies and procedures,and must be supplemented with all <strong>State</strong> and Federal Laws and Regulations.