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ARIZONA HOUSE OF REPRESENTATIVESFifty-seventh Legislature First Regular Session |
House: HHS DPA 12-0-0-0 |
HB 2182: ALTCS; preadmission screening; cognitive impairment
Sponsor: Representative Bliss, LD 1
House Engrossed
Overview
Requires the uniform preadmission screening instrument for Arizona Long Term Care System (ALTCS) institution or home and community-based services to assess the cognitive needs regarding prompting, monitoring and supervising activities of daily living for elderly applicants and adult applicants with physical disabilities.
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. The Arizona Health Care Cost Containment System (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 uniform preadmission screening to assess cognitive needs regarding prompting, monitoring and supervising activities of daily living for elderly applicants and adult applicants with physical disabilities. (Sec. 1)
2. Requires the 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)
3. Requires AHCCCS, subject to available appropriations, to update the elderly and adults with physical disabilities preadmission screening instrument and staff training manuals for the purposes of implementing the preadmission screening requirements. (Sec. 2)
4. Contains an effective date of July 1, 2027. (Sec. 3)
5. Makes technical changes. (Sec. 1)
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9. HB 2182
10. Initials AG Page 0 House Engrossed
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