Admission to a Public/Private ICF-IID B-10

PURPOSE:

The purpose of this policy is to outline the process for requesting placement at a public/private Intermediate Care Facility for individuals with an intellectual disability (ICF-IID) consistent with K.A.R. 30-64-29.

POLICY:

Sedgwick County Developmental Disability Organization (SCDDO) is the gatekeeping entity for this process and will ensure that the least restrictive and most appropriate service setting for the individual is achieved.

PROCEDURES:

1. In order to apply for ICF-IID services, the individual must be determined eligible for IDD Program services, have an active treatment need as defined by Centers for Medicare and Medicaid Services (CMS) State Operations Manual 2 CFR 483.440, meet age requirement and have a full scale IQ of 70 or below.
2. Before an application for ICF-IID services is made, SCDDO will ensure the individual/guardian is informed of the individual’s rights pursuant to the Developmental Disabilities Reform Act (DDRA) and will receive options counseling.
3. Any individual, community service provider (CSP) or Community Developmental Disability Organization (CDDO) may originate the application for admission to an ICF-IID. The application must be submitted to SCDDO and approved by the individual’s guardian, if applicable.
4. When the individual has a guardian and is requesting public ICF-IID placement, authority must be granted from the Kansas probate court. (KSA 59-3077, Authority of guardian to admit ward to treatment facility; petition; contents; notice; hearing; procedure).
5. When the individual does not receive targeted case management (TCM) services, SCDDO staff will complete the application for ICF-IID placement. For application to be considered the following applicable information will be collected:
   1. Person Centered Support Plan
   2. Individualized Justice Plan, if applicable
   3. Current medication information (and previous six months)
   4. Psychological examination
   5. Medical examination
   6. Behavior Support Plan, including:
      1. Behavior data (previous six months)
      2. Incident reports (previous six months)
   7. Written narrative with the following information:
      1. Description of current services, utilization
      2. Description of the unmet need
      3. Description of what changes have led to this request
      4. Description of other services explored and associated outcomes, as well as resources in surrounding counties
      5. Transition plan for the individual to return to community services
6. SCDDO and the individual, in partnership with their guardian, team and care coordinator will meet to complete the Kansas Department for Aging and Disability Services (KDADS) ICF-IID referral and prescreen. This meeting will assess the following:
   1. 1. 1. Services in an ICF-IID setting would be the least restrictive, most appropriate service setting for the individual at this time, including the anticipated length of stay.
         2. That admission to an ICF-IID is essential to the individual’s health and
7. The SCDDO Director or designee will review the referral and prescreen application and documentation to determine if the appropriate ICF-IID placement criteria have been met; if approved, SCDDO will submit to Kansas Department of Aging and Disability Services (KDADS) within three business days of the decision.
   1. 1. 1. 1. If approved, SCDDO will complete gatekeeping summary with the individual, guardian, their team and the care coordinator.
            2. If denied, the team may provide additional information for resubmission
8. SCDDO will submit the gatekeeping summary to Kansas Department for Aging and Disability Services (KDADS) Community Services & Programs Commission for final approval. The TCM provider and/or the support team will be notified of the findings within three business days.
9. If admission to the ICF-IID is not approved by any of the above parties, SCDDO will provide appeal options and information and referral to community resources.
10. The TCM provider will continue to work with the individual/guardian to identify any additional community resource options.