(b) If responsibility for medication setup is assigned to the license holder in the support plan or the support plan addendum, or if the license holder provides it as part of medication assistance or medication administration, the license holder must document in the person's medication administration record: dates of setup, name of medication, quantity of dose, times to be administered, and route of administration at time of setup; and, when the person will be away from home, to whom the medications were given. (f) During the service termination notice period, the license holder must: (1) work with the support team or expanded support team to develop reasonable alternatives to protect the person and others and to support continuity of care; (2) provide information requested by the person or case manager; and. Adverse reactions must be immediately reported to the prescriber or a nurse. or CADI). A person must be assigned a staff ratio requirement of one to eight if: (1) the person does not meet the requirements in subdivision 4; and. (b) If responsibility for meeting the person's health service needs has been assigned to the license holder in the support plan or the support plan addendum, the license holder must maintain documentation on how the person's health needs will be met, including a description of the procedures the license holder will follow in order to: (1) provide medication setup, assistance, or administration according to this chapter. 2012 c 216 art 18 s 20; 2013 c 108 art 8 s 25; 2014 c 312 art 27 s 24-29; 2015 c 71 art 7 s 11,12; 2022 c 98 art 17 s 26. (2) the alternative care (AC) program under section 256B.0913. Each incident report must include: (i) the name of the person or persons involved in the incident. The license holder must provide services as assigned in the support plan. Basic support services include: (1) in-home and out-of-home respite care services as defined in section 245A.02, subdivision 15, and under the brain injury, community alternative care, community access for disability inclusion, developmental disabilities, and elderly waiver plans, excluding out-of-home respite care provided to children in a family child foster care home licensed under Minnesota Rules, parts 2960.3000 to 2960.3100, when the child foster care license holder complies with the requirements under section 245D.06, subdivisions 5, 6, 7, and 8, or successor provisions; and section 245D.061 or successor provisions, which must be stipulated in the statement of intended use required under Minnesota Rules, part 2960.3000, subpart 4; (2) adult companion services as defined under the brain injury, community access for disability inclusion, community alternative care, and elderly waiver plans, excluding adult companion services provided under the Corporation for National and Community Services Senior Companion Program established under the Domestic Volunteer Service Act of 1973, Public Law 98-288; (3) personal support as defined under the developmental disabilities waiver plan; (4) 24-hour emergency assistance, personal emergency response as defined under the community access for disability inclusion and developmental disabilities waiver plans; (5) night supervision services as defined under the brain injury, community access for disability inclusion, community alternative care, and developmental disabilities waiver plans; (6) homemaker services as defined under the community access for disability inclusion, brain injury, community alternative care, developmental disabilities, and elderly waiver plans, excluding providers licensed by the Department of Health under chapter 144A and those providers providing cleaning services only; (7) individual community living support under section 256S.13; and. 245d license training 245d license structure applicant and license holder notarized signature form mn dhs self-monitoring checklist 245d license lookup 245d license contact number 245d license phone number 245d billing. (3) For all other license holders this includes the: (i) policies and procedures in clause (2); (ii) emergency use of manual restraints policy and procedure required under section 245D.061, subdivision 9, or successor provisions; and. "Family foster care" means a child foster family setting licensed according to Minnesota Rules, parts 2960.3000 to 2960.3340, or an adult foster care home licensed according to Minnesota Rules, parts 9555.5105 to 9555.6265, where the license holder lives in the home. Minnesota Statutes, Chapter 245D, regulates the provision of home and community-based services to persons with disabilities and persons age 65 and older. "Intermediate care facility for persons with developmental disabilities" or "ICF/DD" means a residential program licensed to serve four or more persons with developmental disabilities under section 252.28 and chapter 245A and licensed as a supervised living facility under chapter 144, which together are certified by the Department of Health as an intermediate care facility for persons with developmental disabilities. Conditions for emergency use of manual restraint. List, Bill 2013 c 108 art 8 s 28; 2014 c 312 art 27 s 77; 2015 c 21 art 1 s 50; 2016 c 158 art 1 s 98; 2022 c 98 art 17 s 26. "Annual" and "annually" have the meaning given in section 245A.02, subdivision 2b. (a) License holders must develop a positive support transition plan on the forms and in the manner prescribed by the commissioner for a person who requires intervention in order to maintain safety when it is known that the person's behavior poses an immediate risk of physical harm to self or others. A double occupancy room must have at least 120 square feet of floor space with a 7-1/2 foot ceiling. Committee "Program" means either the nonresidential or residential program as defined in section 245A.02, subdivisions 10 and 14. The refusal to authorize medication administration must be reported to the prescriber as expediently as possible. (c) At least once per year, the license holder, in coordination with the person's support team or expanded support team, must meet with a person receiving residential supports and services, the person's legal representative, the case manager, and other people as identified by the person or the person's legal representative to discuss options for transitioning out of a community setting controlled by a provider and into a setting not controlled by a provider. Minnesota Department of Human Services Licensing Division OVERVIEW OF 245D HCBS LICENSE STRUCTURE PROGRAM LICENSECATEGORY OF SERVICESERVICEFACILITY LICENSEIndividual Community Living Supports (ICLS) 24Hour Emergency Assistance CompanionBasic Fill & Sign Online, Print, Email, Fax, or Download Get Form . Council, Schedules, Calendars, Page, Commission Potable water from privately owned wells must be tested annually by a Department of Health-certified laboratory for coliform bacteria and nitrate nitrogens to verify safety. Inspections and code compliance. POLICIES AND PROCEDURES; INTENSIVE SUPPORT SERVICES. Refusal to authorize psychotropic medication. DAY SERVICES FACILITIES; STAFF RATIOS AND FACILITY COVERAGE. Minimum of 2 years experience in software compliance or contract negotiations Understanding of legal and contracting environments Understanding of computer and communications operating environments Excellent verbal and written communication skills Ability to utilize word processing, spreadsheet, and database query tools. (d) A denial of the certification or the removal of the certification based on a determination that the requirements under section 245A.03, subdivision 6a, paragraph (b), have not been met is not subject to appeal. FACILITY LICENSURE REQUIREMENTS AND APPLICATION PROCESS. Representatives, House (2) on a daily basis the person requires verbal prompts or spot checks and minimal or no physical assistance to successfully complete at least three of the following activities: toileting, communicating basic needs, eating, or ambulating. This level of supervision and protection allows risk taking to the extent that there is no reasonable likelihood that serious harm will happen to the person or others. The summary must include a statement about any decision made regarding transitioning out of a provider-controlled setting and a description of any further research or education that must be completed before a decision regarding transitioning out of a provider-controlled setting can be made. (b) Staff under 18 years of age may not perform overnight duties or administer medication. Apply for An Associate Project Manager jobs that are part time, remote, internships, junior and senior level. "Aversive stimulus" means an object, event, or situation that is presented immediately following a behavior in an attempt to suppress the behavior. (3) prevent the person from physically harming self or others. (iii) a balance between risk and opportunity, meaning the least restrictive supports or interventions necessary are provided in the most integrated settings in the most inclusive manner possible to support the person to engage in activities of the person's own choosing that may otherwise present a risk to the person's health, safety, or rights. Individual clean bed linens appropriate for the season and the person's comfort, including towels and wash cloths, must be available for each person. 2013 c 108 art 8 s 26; 2014 c 275 art 1 s 50,140; 2014 c 312 art 27 s 30; 2022 c 98 art 17 s 26. (5) reporting to the prescriber or a nurse any concerns about the medication or treatment, including side effects, effectiveness, or a pattern of the person refusing to take the medication or treatment as prescribed. Register for MN-ITS (for submission of electronic claims). Register, Minnesota (c) A license holder or staff person is restricted from accepting an appointment as a guardian as follows: (1) under section 524.5-309 of the Uniform Probate Code, any individual or agency that provides residence, custodial care, medical care, employment training, or other care or services for which the individual or agency receives a fee may not be appointed as guardian unless related to the respondent by blood, marriage, or adoption; and. If, within ten working days of the submission of the assessment or support plan addendum, the person or the person's legal representative or case manager has not signed and returned to the license holder the assessment and support plan addendum or has not proposed written modifications to the license holder's submission, the submission is deemed approved and the assessment and support plan addendum become effective and remain in effect until the legal representative or case manager submits a written request to revise the assessment or support plan addendum. PROGRAM CATEGORY OF SERVICE SERVICE FACILITY LICENSE LICENSE . The license holder must establish and maintain a record-keeping system for the incident and emergency reports. If approval is withdrawn, the right must be immediately and fully restored. (a) At no time must one direct support staff member be assigned responsibility for supervision and training of more than ten persons receiving supervision and training, except as otherwise stated in each person's support plan or support plan addendum. Positive support professional qualifications. The license holder must conduct a review of incident reports for identification of incident patterns, and implementation of corrective action as necessary to reduce occurrences. Community residential settings and day service facilities. Add to cart. A person may choose not to have a cabinet, dresser, shelves, or a mirror in the bedroom, as otherwise required under paragraph (d), clause (3) or (4). (d) The facility's plumbing, ventilation, heating, cooling, lighting, and other fixtures and equipment, including elevators or food service, if provided, must conform to applicable health, sanitation, and safety codes and regulations. Nothing in this section changes the commissioner's responsibilities to investigate alleged or suspected maltreatment of a minor under chapter 260E or a vulnerable adult under section 626.557. (b) For community residential services, training and competency evaluations must include the following, if identified in the support plan: (1) appropriate and safe techniques in personal hygiene and grooming, including hair care; bathing; care of teeth, gums, and oral prosthetic devices; and other activities of daily living (ADLs) as defined under section 256B.0659, subdivision 1; (2) an understanding of what constitutes a healthy diet according to data from the Centers for Disease Control and Prevention and the skills necessary to prepare that diet; and. If the license holder does not submit a request to renew approval as required, the commissioner must conduct a licensing inspection. The policy and procedures must comply with the requirements of this section and must specify the following: (1) a description of the positive support strategies and techniques staff must use to attempt to de-escalate a person's behavior before it poses an imminent risk of physical harm to self or others; (2) a description of the types of manual restraints the license holder allows staff to use on an emergency basis, if any. The license holder must keep a written or electronic register, listing in chronological order the dates and names of all persons served by the program who have been admitted, discharged, or transferred, including service terminations initiated by the license holder and deaths. "Restraint" means manual restraint as defined in subdivision 15a or mechanical restraint as defined in subdivision 15b, or any other form of restraint that results in limiting of the free and normal movement of body or limbs. "Outcome" means the behavior, action, or status attained by the person that can be observed, measured, and determined reliable and valid. Unlicensed staff responsible for medication setup or medication administration under this section must complete training according to section 245D.09, subdivision 4a, paragraph (d); (2) monitor health conditions according to written instructions from a licensed health professional; (3) assist with or coordinate medical, dental, and other health service appointments; or. A license holder must provide annual training to direct support staff on the topics identified in subdivision 4, clauses (3) to (11). Fiscal Analysis, Legislative Keep this for yourown records. by Topic (Index), Statutes (d) The support plan addendum must include a summary of the discussion required in paragraph (c). (5) documentation of the expanded support team's approval and the recommendation from the interim panel required under paragraph (b). Three nutritionally balanced meals a day must be served or made available to persons, and nutritious snacks must be available between meals. Food served must meet any special dietary needs of a person as prescribed by the person's physician, advanced practice registered nurse, physician assistant, or dietitian. 1,445 Associate Project Manager Jobs in Ham Lake, MN hiring now with salary from $52,000 to $153,000 hiring now. "Certification" means the commissioner's written authorization for a license holder to provide specialized services based on certification standards in section 245D.33. (a) Use of the instructional techniques and intervention procedures as identified in paragraphs (b) and (c) is permitted when used on an intermittent or continuous basis. The residency agreement must include service termination requirements specified in section 245D.10, subdivision 3a, paragraphs (b) to (f). "Support plan" has the meaning given in sections 256B.0913, subdivision 8; 256B.092, subdivision 1b; 256B.49, subdivision 15; and 256S.10, or successor provisions. The summary must include a statement regarding any decision made related to the use of technology and a description of any further research that must be completed before a decision regarding the use of technology can be made. How can I remain current on all the rules and regulations? 2013 c 108 art 8 s 48; 2014 c 291 art 3 s 2, Official Publication of the State of Minnesota If you are providing services to someone under a 245D or Home and Community Based Services (HCBS) license, then that person is automatically covered by the PSR, regardless of their diagnosis, and all services your program provides to that person must comply with the PSR. Any restriction on the possession or locked storage of personal items, including requiring a person to use a lock provided by the license holder, must comply with section 245D.04, subdivision 3, paragraph (c), and allow the person to be present if and when the license holder opens the lock. Appears some Minnesota Counties are requiring providers for AFC Elderly Waiver (203A) licenses to also hold a 245D license. (4) the names of the staff or position responsible for implementing the supports and methods. (a) The license holder is responsible for meeting health service needs assigned in the support plan or the support plan addendum, consistent with the person's health needs. (b) In addition, a behavior specialist must: (1) have received training prior to hire or within 90 calendar days of hire that includes: (i) a minimum of four hours of training in functional assessment; (iii) ten hours of instruction on design of positive practices behavioral support strategies; and. Roster, Upcoming COMMUNITY RESIDENTIAL SETTINGS; PHYSICAL PLANT AND ENVIRONMENT. Guide, Address This service includes how to provide Integrated Community Supports services in your business, leasing property management, rental structure, and how to maximize your waiver services (how it will cover the gap of rent . If the support team or expanded support team makes a determination that is contrary to the recommendation of a licensed professional treating the person, the license holder must document the specific reasons why a contrary decision was made. Property damage, verbal aggression, or a person's refusal to receive or participate in treatment or programming on their own do not constitute an emergency. Laws, and Rules, Keyword Standards for emergency use of manual restraints. Learn more. (vii) registered nurse who is licensed under sections 148.171 to 148.285, and who is certified as a clinical specialist or as a nurse practitioner in adult or family psychiatric and mental health nursing by a national nurse certification organization, or who has a master's degree in nursing or one of the behavioral sciences or related fields from an accredited college or university or its equivalent, with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services. (a) The license holder must maintain a record of current services provided to each person on the premises where the services are provided or coordinated. The commissioner's decision that the conditions for approval for an alternative licensing inspection have not been met is final and not subject to appeal under the provisions of chapter 14. The license holder must ensure that the person and the person's representative are notified before admission of the presence of pets in the residence. Upon request, the license holder must provide the person, or the person's legal representative, and case manager with copies of the revised policies and procedures. (c) The license holder must install handrails and nonslip surfaces on interior and exterior runways, stairways, and ramps according to the applicable building code. Except for services identified in section 245D.03, subdivision 1, paragraph (c), clauses (1) and (2), item (ii), a license holder providing intensive support services identified in section 245D.03, subdivision 1, paragraph (c), must comply with the requirements in this section and section 245D.07, subdivisions 1, 1a, and 3. If you do NOT hold a 245D-HCBS license and want . Programs, Pronunciation (c) Intensive support services provide assistance, supervision, and care that is necessary to ensure the health and welfare of the person and services specifically directed toward the training, habilitation, or rehabilitation of the person. This requirement does not apply to temporary suspensions issued under paragraph (b), clause (3). (a) The facility capacity of each day service facility must be determined by the amount of primary space available, the scheduling of activities at other service sites, and the space requirements of all persons receiving services at the facility, not just the licensed services. (g) The license holder must conduct an internal review of incident reports of deaths and serious injuries that occurred while services were being provided and that were not reported by the program as alleged or suspected maltreatment, for identification of incident patterns, and implementation of corrective action as necessary to reduce occurrences. A restriction may be implemented only when the required approval has been obtained. Injectable medications may be administered according to a prescriber's order and written instructions when one of the following conditions has been met: (1) a registered nurse or licensed practical nurse will administer the injection; (2) a supervising registered nurse with a physician's order has delegated the administration of injectable medication to an unlicensed staff member and has provided the necessary training; or. The license holder must verify and maintain evidence of staff competency, including documentation of: (1) education and experience qualifications relevant to the job responsibilities assigned to the staff and to the primary disability of persons served by the program, including a valid degree and transcript, or a current license, registration, or certification, when a degree or licensure, registration, or certification is required by this chapter or in the support plan or support plan addendum; (2) demonstrated competency in the orientation and training areas required under this chapter, and when applicable, completion of continuing education required to maintain professional licensure, registration, or certification requirements. The outcomes and supports must be included in the support plan addendum. (c) The license holder must ensure the following information is documented in the person's medication administration record: (1) the information on the current prescription label or the prescriber's current written or electronically recorded order or prescription that includes the person's name, description of the medication or treatment to be provided, and the frequency and other information needed to safely and correctly administer the medication or treatment to ensure effectiveness; (2) information on any risks or other side effects that are reasonable to expect, and any contraindications to its use. Deadlines, Chief 245D.28. A license holder providing intensive support services as identified in section 245D.03, subdivision 1, paragraph (c), must establish, enforce, and maintain policies and procedures as required in this section. (3) maintain information about the service suspension, including the written notice of temporary service suspension, in the service recipient record. Commission (LCC), Legislative-Citizen Commission Search, Statutes (f) The support plan addendum must include a summary of the discussion required in paragraph (e). 2013 c 108 art 8 s 31; 2014 c 312 art 27 s 40; 1Sp2019 c 9 art 7 s 6; 1Sp2020 c 2 art 2 s 5; 2022 c 98 art 17 s 26. (4) be under the direct supervision of a positive support professional. I have a 245D license and need help with paperwork, compliance, or audits. Minnesota residents with disabilities or chronic illnesses who need certain levels of care may qualify for the Minnesota HCBS waiver programs. License holders providing intensive support services must also provide outcome-based services according to the requirements in section 245D.071. Individualized Home Support. Person requiring staff ratio of one to eight. The documentation must include: (1) the methods or actions that will be used to support the person and to accomplish the service outcomes, including information about: (i) any changes or modifications to the physical and social environments necessary when the service supports are provided; (ii) any equipment and materials required; and. "Chemical restraint" means the administration of a drug or medication to control the person's behavior or restrict the person's freedom of movement and is not a standard treatment or dosage for the person's medical or psychological condition. The license holder must ensure that the following people have access to the information in subdivision 1 in accordance with applicable state and federal laws, regulations, or rules: (1) the person, the person's legal representative, and anyone properly authorized by the person; (3) staff providing services to the person unless the information is not relevant to carrying out the support plan or support plan addendum; and. on MN Resources (LCCMR), Legislative and Legislative Business, House For purposes of this clause, "health care facility" means a facility licensed by the commissioner as a residential facility under chapter 245A to provide adult foster care or residential services to persons with disabilities; (4) requires that when a person or the person's legal representative requests services from the license holder, a refusal to admit the person must be based on an evaluation of the person's assessed needs and the license holder's lack of capacity to meet the needs of the person. 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