(d) Individuals admitted to a specialty hospital shall require simultaneous assessment or treatment for their health care needs and structured programming for their developmental disabilities. A specialty hospital covered under this regulation shall admit only individuals who have had a comprehensive assessment (see section 680.13) within the 90 days prior to admission. This assessment shall have identified both the individual's developmental disability (ies) and health care needs which will require more than three hours of daily individualized attention from health care staff. In addition, there shall be an identification of the specific service(s) required by the individual in terms of type and frequency and a declaration of the service outcomes to be achieved which are congruent with the conditions necessitating admission. A current individual program plan developed by a State developmental center for the individual within the 90 days prior to admission is considered as complying with this requirement. However, prior admission to a developmental center shall not be a requirement for eligibility for a specialty hospital.

1. (1) This requirement may be waived in an emergency situation which poses a danger of death or irreversible disability to the individual. However, in such instances, the condition necessitating the emergency admission must be identified and assessed prior to admission.
2. (2) In an emergency admission situation, the comprehensive assessment shall be completed within 15 calendar days of admission.

(i) At the time of admission, the type of placement and proposed location (if known) shall be identified and documented in the individual's record for preparation for each individual's placement subsequent to leaving the specialty hospital.

1. (1) Prior to admission, there shall be a written plan of placement identifying time frames and persons responsible to reasonably assure the readiness of the proposed placement within the six-month transitional specialty hospital placement.
2. (2) For Willowbrook class members (see section 680.13), at the time of admission, residence shall be identified by name and address for each individual's placement subsequent to leaving the specialty hospital. The sole exception to this requirement shall be constituted when the individual's treatment at the specialty hospital may make a less restrictive placement possible than is apparent at the time of his or her admission. In this instance, the type of placement under consideration shall be described at the time of admission.