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ARIZONA HOUSE OF REPRESENTATIVESFifty-seventh Legislature First Regular Session |
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HB 2182: ALTCS; preadmission screening; cognitive impairment
Sponsor: Representative Bliss, LD 1
Committee on Health & Human Services
Overview
Requires the Arizona Health Care Cost Containment System (AHCCCS) to adopt rules that establish a uniform preadmission screening instrument that assesses the cognitive needs of an applicant to determine eligibility for Arizona Long Term Care System (ALTCS) institution or home and community-based services. Makes modifications to the ALTCS preadmission screening procedures.
History
The ALTCS system includes the management and delivery of hospitalization, medical care, institutional services and home and community-based services to members through AHCCCS administration, program contractors and providers. AHCCCS maintains the full operational responsibility for the ALTCS system and those responsibilities are outlined in statute (A.R.S. § 36-2932).
Preadmission screening refers to a uniform statewide preadmission screening program conducted by AHCCCS in determining if a person has met eligibility criteria for institutional or home and community-based services through ALTCS. A person must have a nonpsychiatric medical condition or have a developmental disability, that by itself or in combination with other medical conditions, necessitates the level of care that is provided in a nursing facility or intermediate care facility. AHCCCS utilizes a uniform preadmission screening instrument to assess the functional, medical, nursing, social and developmental needs of the applicant for ALTCS services in making this determination.
Preadmission screening is conducted telephonically or virtually, unless AHCCCS determines it is necessary to conduct the assessment in person or the applicant being screened or their representative requests an in person assessment. AHCCCS must provide notice to applicants that the purpose of preadmission screening is to conduct a meaningful review of an applicant's medical needs, functional capacity, social and developmental needs, emotional and cognitive behaviors. The notice must inform applicants that the applicant or their representative may request an in person assessment and may request accommodations in the preadmission screening process under the Americans with Disabilities Act (ADA) of 1990 (A.R.S. § 36-2936).
Provisions
1. Requires the AHCCCS Director to adopt rules that establish a uniform preadmission screening instrument to assess the cognitive needs of an applicant to determine eligibility for ALTCS institution or home and community-based services. (Sec. 1)
2. Specifies that cognitive needs include prompting, monitoring and supervising daily activities. (Sec. 1)
3. Requires the rules for the uniform preadmission screening instrument to weigh cognitive impairment and physical impairment at the same weight if the impairment produces a similar level of functional difficulty. (Sec. 1)
4. Requires AHCCCS to attempt to conduct the preadmission screening assessment with the applicant in the applicant's residence and interview the applicant's caregivers, family, neighbors and medical providers who have knowledge of the applicant's care needs. (Sec. 1)
5. Requires the preadmission screening to be conducted in person unless the applicant being screened or the applicant's representative requests a video or telephone assessment. (Sec. 1)
6. Removes the requirement that AHCCCS inform applicants that they or their representative may request accommodations under the ADA and provide notice to applicants that the purpose of preadmission screening is to conduct a meaningful review of an applicant's:
a) medical needs;
b) functional capacity;
c) social and development needs; and
d) emotional and cognitive behaviors. (Sec. 1)
7. Makes technical changes. (Sec. 1)
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11. HB 2182
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