1. (1) The admitting or attending physician must certify the necessity of admission of a resident to an intermediate care facility and make a comprehensive medical evaluation, as described in Rule No. 560-X-10-.11(3)(d)3. This evaluation will be maintained by the facility as part of the resident’s permanent records.
2. (2) Each Medicaid resident in an intermediate care facility must have a written medical plan of care established by his physician and periodically reviewed and evaluated by the physician and other personnel involved in the individual’s care.
3. (3) For nursing facilities, the resident must be seen by a physician at least once every 30 days for the first 90 days from admission, and at least once every 60 days thereafter.

4. (4) The physician’s care plan must include:

   1. (a) Diagnosis.
   2. (b) Symptoms and treatments.
   3. (c) Complaints.
   4. (d) Activities.
   5. (e) Functional level.
   6. (f) Dietary.
   7. (g) Medications.
   8. (h) Plans for continuing care and discharge as appropriate.
   9. (i) Social services.

Author: Robin Arrington, Associate Director, LTC Provider/Recipient Services Unit

Statutory Authority: State Plan; Title XIX, Social Security Act; P.L. 92-603; 42 C.F.R. §§401, et seq.

History: New Rule: Filed August 11, 2003; effective September 15, 2003. Amended: Filed January 11, 2017; effective February 25, 2017.