Section 17-1737-30 - Content of ICF-MR services(a) Long-term institutional services shall be provided by freestanding or distinct part ICF-MR facilities that shall meet the eligibility requirements specified in chapters 17-1736 and 17-1739.(b) ICF-MR facilities shall provide inpatient or authorized community-based services designed primarily for the treatment and rehabilitation of the mentally retarded or persons with related conditions.(c) ICF-MR services shall include but not be limited to:(1) Twenty-four hour supervision of mentally retarded individuals or persons with related conditions in a protected residential setting;(2) A continuous active treatment program which includes aggressive, consistent implementation of a program of specialized and generic training, treatment health services and related services described in this subsection, that is directed towards: (A) The acquisition of the behaviors necessary for the client to function with as much self-determination and independence as possible; and(B) The prevention or deceleration of regression or loss of current optimal functional status. Active treatment does not include services to maintain generally independent clients who are able to function with little supervision or in the absence of a continuous active treatment program;
(3) Interventions to manage inappropriate client behavior that are employed with sufficient safeguards and supervision to ensure that the safety, welfare and civil and human rights of clients are adequately protected;(4) Sufficient direct care staff to manage and supervise clients in accordance with their individual program plans, to respond to injuries and symptom of illness and to handle emergencies in each defined residential living unit;(5) Preventive and general medical care as well as annual physical exams of each client that include: (A) Evaluation of vision and hearing;(B) Immunizations, using as a guide the recommendations of the Public Health Service Advisory Committee on Immunization Practices or of the Committee on the Control of Infectious Diseases of the American Academy of Pediatrics;(C) Routine screening lab exams and special studies; and(D) TB control, appropriate to the facility's population, and in accordance with the recommendations of the American College of Chest Physicians or the section of diseases of the American Academy of Pediatrics, or both;(6) Licensed nursing services sufficient to care for clients health needs, including those clients with medical care plans;(7) Provision of or arrangements for comprehensive dental diagnostic services and comprehensive dental treatment services that include:(A) The availability of emergency dental treatment on a twenty-four hours a day basis by a licensed dentist; and(B) Dental care needed for relief of pain and infections, restoration of teeth, and maintenance of dental health;(8) Provision of or arrangements for routine and emergency drugs and biologicals that are administered in compliance with physician's orders;(9) At least three meals a day that comprise a nourishing, well-balanced diet including modified and specially prescribed diets;(10) Physician services available twenty-four hours a day to:(A) Develop and maintain, in coordination with licensed nursing personnel, a medical care plan of treatment for a client if the physician determines that an individual client requires twenty-four hours licensed nursing care; and(B) Participate in establishing an initial individual program plan for a newly admitted client; and(11) Provision of necessary services, including emergency and other health care through contractual agreements which shall: (A) Stipulate the responsibilities, functions, objectives, service fee, and other terms agreed to by the ICF-MR and the provider; and(B) Provide that the ICF-MR is responsible for assuring that the outside services meet the standards for quality of services.Haw. Code R. § 17-1737-30
[Eff 08/01/94; am 02/10/97] (Auth: HRS § 346-14; Pub. L. No. 100-203; 42 C.F.R. §§430.10, 431.10, 483.400 ) (Imp: Pub. L. No. 100-203; 42 C.F.R. §§483.400 -483. 480 )