1. (a) Upon request, services in (f) below shall be provided in an acute care hospital when each service is:

   1. (1) Identified in an individual’s service agreement;
   2. (2) Provided to meet needs of the individual that are not met through the provision of hospital services;
   3. (3) Not a substitute for services that the hospital is obligated to provide through its conditions of participation or under federal or state law, or under another applicable requirement; and
   4. (4) Designed to ensure smooth transitions between acute care settings and home and community-based settings, and to preserve the individual’s functional abilities.
2. (b) If services in (e) are provided pursuant to (c) below, then those services shall be reviewed by the team at the quarterly meeting to ensure this method of service delivery continues to meet the individual’s needs.

3. (c) Upon request, services in (e) below shall be provided remotely under the following conditions:

   1. (1) This method of service delivery meets the assessed needs of the individual;
   2. (2) The individual, guardian, or representative chose this method of service delivery;
   3. (3) This method of service delivery is reviewed by the team at the quarterly meeting to ensure that it continues to meet the individual’s needs; and
   4. (4) The chosen remote platform for delivery of services is in compliance with the Health Insurance Portability and Accountability Act of 1996, as applicable.
4. (d) If an individual, guardian, or representative no longer chooses to receive a service in (e) below through a remote method of service delivery, the provider agency shall continue providing services in the same amount, type, scope, frequency, and duration during the time in which services are changed to an in-person method of delivery.

5. (e) Services that may be provided through a remote method of service delivery pursuant to (c) above shall include:

   1. (1) Community participation services;
   2. (2) Residential habilitation;
   3. (3) Service coordination, except home visits pursuant to He-M 503.10 or He-M 522.11 for residential services;
   4. (4) Supported employment;
   5. (5) Assistive technology;
   6. (6) Community integration services;
   7. (7) Community support services;
   8. (8) Crisis response services;
   9. (9) Individual goods and services;
   10. (10) Specialty services; and
   11. (11) Wellness coaching.

6. (f) Services that may be provided in an acute care hospital pursuant to (a) above shall include:

   1. (1) Community participation services;
   2. (2) Residential habilitation;
   3. (3) Respite;
   4. (4) Service coordination;
   5. (5) Supported employment;
   6. (6) Assistive technology;
   7. (7) Community support services;
   8. (8) Crisis response services;
   9. (9) Environmental and vehicle modification services;
   10. (10) Individual goods and services;
   11. (11) Personal emergency response services;
   12. (12) Removable prosthodontic services;
   13. (13) Specialty services; and
   14. (14) Wellness coaching.

Source. #4315, eff 9-25-87; EXPIRED: 9-25-93 New. #6360, eff 10-23-96, EXPIRED: 10-23-04 New. #8195, INTERIM, eff 10-29-04, EXPIRED: 4-27-05 New. #8424, eff 9-1-05; ss by #10454, eff 10-31-13; ss by #13988, eff 5-30-24