Section 210-RICR-50-00-5.8 - Long-term Hospital Assessments and Level of Care DeterminationsA. Long-term hospitals and the related HCBS alternatives serve people who may have one or more of a diverse set of clinical and/or functional needs. In addition, the intervals for re-determining level of care may differ depending on a beneficiary's acuity needs. Accordingly, both the process and criteria for determining the LTH level of need vary across agencies and populations as follows:1. HCB Habilitative Care [DOT] EOHHS LTSS specialists determine the level of need for applicants and beneficiaries seeking home and community based habilitative services. The NF needs-based criteria set forth in §5.6.3 of this Part apply. Applicants and beneficiaries with the high and highest need have the choice of obtaining Medicaid HCBS services in a community residential care setting or at home. 2. Under 21 psychiatric care [DOT] Medicaid applicants and beneficiaries up to age twenty-one (21) may obtain LTH services in a licensed psychiatric residential treatment center or a hospital under the authority of the Early, Periodic, Screening, Detection and Treatment (EPSDT) requirements of Title XIX and the Medicaid State Plan. Assessments center on "medical necessity" and clinical/functional need and are conducted by treating health practitioners, the Medicaid managed care plans, and/or the DCYF, if the child or young adult is participating in one of the department's programs.3. Behavioral health services [DOT] The BHDDH and the State's Community Mental Health Centers assess the clinical and functional needs of applicants/beneficiaries with serious and persistent behavioral health conditions and/or mental illnesses. This assessment is used to determine: a. Level of care. Whether the person requires the services and supports typically provided in an LTH to meet their clinical and functional needs;b. Service classification. What the scope and intensity of the person's need for the LTH level of care are; andc. Service options. Whether the person's needs can be met safely and effectively in the available HCBS alternatives, or require the more intensive services, supports, and supervision that can be accessed in a more restrictive health institution setting.B. Reassessments are conducted annually or on a more frequent basis, depending on need. Redeterminations of functional/clinical eligibility occur no more than once annually, and less frequently for Medicaid LTSS beneficiaries who have clinical and/or functional limitations that are not expected to change.210 R.I. Code R. 210-RICR-50-00-5.8