LAC 50:XXI.2503. Admission Denial or Discharge Criteria

A. Admission shall be denied or the participant shall be discharged from the ADHC Waiver Program if any of the following conditions are determined. 1. The individual does not meet the target population criteria as specified in the federally approved waiver document. 2. The individual does not meet the criteria for Medicaid eligibility. 3. The individual does not meet the criteria for nursing facility level of care. 4. The individual resides in another state or the participant has a change of residence to another state. 5. Continuity of services is interrupted as a result of the participant not receiving and/or refusing ADHC waiver services (exclusive of support coordination services) for a period of 30 consecutive days. a. Exceptions may be granted by OAAS to delay discharge if interruption is due to an acute care hospital, rehabilitation hospital, or nursing facility admission. 6. The health, safety and welfare of the individual cannot be assured through the provision of ADHC waiver services. 7. The individual/participant fails to cooperate in the eligibility determination process, POC development, or in the performance of the POC. 8. It is not cost effective or appropriate to serve the individual in the ADHC Waiver. 9. The participant fails to attend the ADHC center for a minimum of 36 days per calendar quarter. 10. The participant fails to maintain a safe and legal home environment.