TITLE 460 DIVISION OF DISABILITY AND REHABILITATIVE SERVICES

Temporarily adds provisions at 460 IAC 9-1-2 concerning definitions and criteria for a comprehensive rehabilitative management needs facility. Effective August 30, 2012.

SECTION 1. (a) This SECTION is supplemental to 460 IAC 9-1-2.

(b) "Residence for adults with comprehensive rehabilitative management needs (CRMNF)" means a residential setting with supports and services for adults who meet the definition of federal intermediate care facility for the mentally retarded (ICF/MR) level of care who may have a dual diagnosis, have acute and high risk challenges, and are in need of comprehensive service delivery in the area of behavior and psychiatric supports and habilitation services that has:

(1) A behavior support plan supervised by a health service provider in psychology (HSPP) in conjunction with behavior consultants to develop and monitor behavior training, developmental training, and support in specific areas for all individuals receiving services who function on a similar level as follows:

(A) The HSPP and behavior consultant must have twenty-four (24) hour availability and must be familiar with the specific needs of the consumer in the facility.

(B) The behavior consultant must provide at least fifteen (15) hours per week of behavior services in the facility for direct monitoring, assessment, intervention, and staff training.

(C) Psychiatric services must be available at a minimum of twenty (20) hours in the facility and have twenty-four (24) hour availability.

(D) A medical director, a director of nursing and nursing personnel to coordinate health care needs of the individuals residing in the facility for access to twenty-four (24) hour nursing care and medical supervision as the individuals needs warrant.

(2) A CRMNF for adults with comprehensive management needs must provide the following:

(A) A continuous active treatment program to address the acute and high risk positive behavior support needs of the individuals receiving services.

(B) The qualified developmental disability professional (QDDP) must provide at least twenty (20) hours per week of direct client intervention, monitoring, assessment, and staff training with the individuals receiving services.

(C) Training for individuals receiving services to address community integration skill needs include training in one (1) or more of the following areas:

(i) activities of daily living or life skills;

(ii) communication;

(iii) vocational skills;

(iv) personal maintenance and development;

(v) positive behavior supports;

(vi) self direction and leisure time;

(vii) active treatment; and

(viii) home skills.

(3) A CRMNF under this subdivision shall not have more than one hundred (100) residential beds.

SECTION 2. SECTION 1 of this document expires on June 30, 2013.

DIN: 20120912-IR-460120515ERA

Composed: Apr 19,2024 2:50:57PM EDT

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