Section 29-4205. INITIATING, CHANGING,DISCHARGING/SUSPENDING,TRANSFERS OR TERMINATIONS

 

4205.1Each provider of waiver services shall establish and implement a plan to protect the privacy and confidentiality of a recipient's records.

 

4205.2The disclosure of treatment information by a provider of waiver services is subject to all the provisions of applicable District and Federal laws, for the purpose of confidentiality of information.

 

4205.3Each provider of waiver services shall maintain comprehensive records of the waiver services provided to each recipient and shall maintain each record for a period of not less than six (6) years.

 

4205.4Each recipient's record shall include, but is not limited to, the following information:

 

(a)General information including each recipient's name, Medicaid identification number, address, telephone number, age, sex, name and telephone number of emergency contact person, physician's name, address, and telephone number;

 

(b)A record of a Bill of Rights and Responsibilities;

 

(c)The initial and annual ISP developed by the case manager and approved by designated MAA staff;

 

(d)A copy of the initial and annual ISP for other service providers as approved by the case manager;

 

(e)A record of all service(s) provided, including description and dates of services rendered;

 

(f)A record of staff person(s) providing the service(s);

 

(g)A copy of the initial and annual level of care determinations;

 

(h)A record of the initial and annual Beneficiary Freedom of Choice;

 

(i)A record of all monthly in-home site visits and telephone contacts;

 

(j)A record of all monthly system checks and telephone contacts;

 

(k)A record of the initial and annual Pre-Admission Screening and Resident Review (PASRR) for mental illness or mental retardation and Psychiatric Evaluation, as necessary;

 

(l)A record of all quarterly reviews and narrative notes;

 

(m)A record of the recipient's initial and annual health history;

 

(n)A record of all prior authorizations for services;

 

(o)A record of all requests for change in services;

 

(p)A discharge summary, if applicable; and

 

(q)Any other records necessary to demonstrate compliance with all rules, regulations, requirements, guidelines, and standards for the implementation and administration of this waiver.

 

source

Final Rulemaking published at 50 DCR 9025 (October 24, 2003).