HAR §17-1720-22
HAR §17-1720-22. Institutional care services
Cite as Haw. Code R. § 17-1720-22
(a)
Institutional care services are provided in a licensed
nursing facility to an enrollee who is referred by a
physician and may require prior authorization.
(b)
Institutional care services shall be
provided either directly by or under the general
supervision of a licensed practical nurse or
registered professional nurse.
(c)
Institutional care services shall minimally
include, but are not limited to:
(1)
Activities of the enrollee's choice
(including religious activities) that are
designed to provide normal pursuits for
physical and psychosocial well-being;
(2)
Administration of medication and treatment;
(3)
Basic nursing and treatment supplies
include, but are not limited to:
soap, skin
lotion, alcohol, powder, applicators, tongue
depressors, cotton ball, gauzes, adhesive
tape, bandages, incontinent pads, V-pads,
thermometers, blood pressure apparatus,
plastic or rubber sheets, enema equipment,
and douche equipment;
(4)
Development, management, and evaluation of
the written care plan based on physician
orders that necessitate the involvement of
skilled technical or professional personnel
to meet the enrollee's care needs, promote
recovery, and ensure the enrollee's health
and safety;
(5)
Durable medical eq~ipment and supplies used
but which are reusable include, but are not
limited to:
ice bag, hot water bottle,
urinal, bedpan, commode, cane, crutch,
walker, wheelchair, and side rail and
traction equipment;
(6)
Health education services provided by
skilled technical or professional personnel
to teach the enrollee self care, such as
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§17-1720-22
320 6
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gait training and self-administration of
medications;
(7)
Laundry service for items of enrollee's
washable personal clothing;
(8)
Nonrestorative or nonrehabilitative therapy,
or both, provided by nursing staff;
(9)
Observation and assessment of the enrollee's
unstable condition that requires the skills
and knowledge of skilled technical or
professional personnel to identify and
evaluate the enrollee's need for possible
medical intervention, modification of
treatment, or both, to stabilize the
enrollee's condition;
(10)
Review of the drug regimen of each
institutionalized enrollee at least once a
month by a licensed pharmacist, as required
for a nursing facility to participate in
Medicaid;
(11)
Therapeutic diet and dietary supplements as
ordered by the attending physician;
(12)
Social services provided by qualified
personnel;
(13)
Room and board;
(14)
Provision of and payment for, through
contractual agreements with appropriate
skilled technical or professional personnel,
other medical and remedial services ordered
by the attending physician which are not
regularly provided by the provider.
Other
services that may be needed, such as
transportation to realize the provision of
services ordered by the attending physician,
shall also be arranged through contractual
agreements. The contractual agreement shall
stipulate the responsibilities, functions,
objectives, service fee, and other terms
agreed to by the NF and the person or entity
that contracts to provide the service; and
(15)
Feeding assistance performed by a feeding
assistant, nurse aide, or nurse.
The
feeding assistant must work under the
supervision of a registered nurse or
licensed practical nurse that is licensed to
practice in Hawaii.
[Eff
09/30/13; am and
comp
~0Vl02016 ]
(Auth:
HRS §346-14;
Pub. L. No. 100-203; 42 C.F.R. §§434.10,
4 4 0 . 4 O , 4 4 0 . 15 0 , 4 8 3 . l , 4 8 3 . 2 O )
( I mp :
Pub .
1720-16