455 Ind. Admin. Code 1-1-2

Current through October 23, 2024
Section 455 IAC 1-1-2 - Definitions

Authority: IC 12-9.1-2-3

Affected: IC 12-10; IC 12-14; IC 12-15-2; IC 16-28-2

Sec. 2.

(a) The definitions in this section apply throughout this rule.
(b) "Applicant" means an individual who has directly, or through a responsible party, made application to participate in the nursing home prescreening program under IC 12-10-12 in order to determine the appropriateness of the individual's placement in a health facility.
(c) "Admission to a health facility" means as soon as an individual is physically present in a health facility unless the admittance is designee-approved. A person approved by a designee is considered admitted twenty-four (24) hours after entering the facility.
(d) "Bureau" refers to the bureau of aging and in-home services established within the division under IC 12-10-1-1.
(e) "DDARS" or "division" refers to the Indiana division of disability, aging, and rehabilitative services.
(f) "Designee" means an individual appointed by the prescreening agency, who may authorize temporary admittance to a health facility, under IC 12-10-12-28 through IC 12-10-12-31.
(g) "Equivalent degree" means a bachelor's degree or a master's degree, which meets the following requirements:
(1) The degree is in the same field of study as those listed in section 10(c)(1) of this rule.
(2) The degree requires courses comparable to the courses required for the degrees listed in section 10(c)(1) of this rule.
(3) The degree has a different title than the degree listed in section 10(c)(1) of this rule.
(h) "Health facility" means a facility licensed by the department of health under IC 16-28-2, whether Medicare or Medicaid certified or not, that:
(1) provides comprehensive:
(A) nursing care;
(B) room;
(C) food;
(D) laundry;
(E) administration of medications;
(F) special diets; and
(G) treatments; and
(2) may provide rehabilitative and restorative therapies under the order of an attending physician.

The term, for purposes of this rule, does not include intermediate care facilities for the mentally retarded (ICF/MR) or facilities licensed for residential care.

(i) "Level I: Identification Evaluation Screen" refers to a screening tool designed to ascertain whether an individual has or is suspected of having a condition of mental illness (MI) and/or mental retardation /developmental disability (MR/DD).
(j) "Medicaid or medical assistance" means payment for part or all of the cost of medical or remedial services furnished on behalf of eligible needy individuals as defined in IC 12-15-2.
(k) "Medicaid waiver" refers to specific provisions concerning home and community based services as specified under 42 U.S.C. 1396n, which have been approved by the Secretary of the federal Department of Health and Human Services, for implementation in Indiana.
(l) "Office" means the office of Medicaid policy and planning established under IC 12-8-6-1[IC 12-8-6expired under IC 12-8-6-10. See IC 12-8-6.5.].
(m) "PAS process" means the process specified in section 4 of this rule.
(n) "PAS team" means the screening team under IC 12-10-12-14.
(o) "Preadmission screening", "prescreening", and "screening program" mean the screening process under IC 12-10-12.
(p) "Prescreening agency" or "PAS agency" means an area agency on aging designated by the bureau under IC 12-10-1 4(18).
(q) "Responsible party" means an individual chosen by an applicant or, if the applicant is a minor or has been adjudicated incompetent, a parent or guardian of an applicant who assists in the process of making application for prescreening under this rule.

455 IAC 1-1-2

Division of Aging; 455 IAC 1-1-2; filed Jul 25, 1985, 3:39 p.m.: 8 IR 1984; filed Aug 7, 1995, 10:00 a.m.: 18 IR 3386; readopted filed Nov 14, 2001, 4:45 p.m.: 25 IR 1270; readopted filed Nov 30, 2007, 4:47 p.m.: 20071226-IR-460070733RFA; readopted filed Nov 15, 2013, 3:22 p.m.: 20131211-IR-455130453RFA
Readopted filed 11/13/2019, 11:55 a.m.: 20191211-IR-455190488RFA

Transferred from the Department on Aging and Community Services ( 450 IAC 1-1-2) to the Division of Aging and Rehabilitative Services ( 460 IAC 1-1-2) by P.L. 41-1987, SECTION 23, effective July 1, 1987.

Transferred from the Division of Disability and Rehabilitative Services ( 460 IAC 1-1-2) to the Division of Aging ( 455 IAC 1-1-2) by P.L. 153-2011, SECTION 21, effective July 1, 2011.