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Rule Chapter: 37.40
Chapter Title: SENIOR AND LONG TERM CARE SERVICES
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37.40 : SENIOR AND LONG TERM CARE SERVICES


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Rule No. Rule Title Latest
Version
Effective
Date
Subchapter 1
Nursing Home Care
37.40.101 LEVEL OF CARE DETERMINATIONS access file 7/15/1983
Rules 37.40.102 through 37.40.104 reserved
37.40.105 SKILLED CARE access file 7/15/1983
37.40.106 INTERMEDIATE NURSING CARE access file 1/3/1977
Rules 37.40.107 through 37.40.109 reserved
37.40.110 SERVICES FURNISHED access file 1/3/1977
Rules 37.40.111 through 37.40.119 reserved
37.40.120 PROBLEM CASES access file 1/3/1977
Subchapter 2
Screening for Skilled Nursing and Intermediate Care Services
37.40.201 PREADMISSION SCREENING, DEFINITIONS access file 4/14/1989
37.40.202 PREADMISSION SCREENING, GENERAL REQUIREMENTS access file 4/14/1989
Rules 37.40.203 and 37.40.204 reserved
37.40.205 PREADMISSION SCREENING, NURSING FACILITY SERVICES access file 4/14/1989
37.40.206 PREADMISSION SCREENING, REDETERMINATION OF NEED FOR NURSING FACILITY SERVICES access file 4/14/1989
37.40.207 PREADMISSION SCREENING, QUALIFIED MENTAL RETARDATION PROFESSIONAL access file 4/14/1989
Subchapter 3
Reimbursement for Skilled Nursing and Intermediate Care Services
37.40.301 SCOPE, APPLICABILITY, AND PURPOSE access file 6/28/2002
37.40.302 DEFINITIONS access file 7/1/2005
Rule 37.40.303 reserved
37.40.304 NURSING FACILITY SERVICES access file 7/1/2005
37.40.305 NURSING FACILITY SERVICES: REIMBURSABLE SERVICES access file 7/1/2005
37.40.306 PROVIDER PARTICIPATION AND TERMINATION REQUIREMENTS access file 6/22/2001
37.40.307 NURSING FACILITY REIMBURSEMENT access file 7/1/2013
37.40.308 RATE EFFECTIVE DATES access file 6/28/2002
Rules 37.40.309 and 37.40.310 reserved
37.40.311 RATE ADJUSTMENT FOR COUNTY FUNDED RURAL NURSING FACILITIES access file 7/1/2006
Rule 37.40.312 reserved
37.40.313 OPERATING COST COMPONENT REP 6/28/2002
37.40.314 DIRECT NURSING PERSONNEL COST COMPONENT REP 6/28/2002
37.40.315 STAFFING AND REPORTING REQUIREMENTS access file 6/28/2002
Rules 37.40.316 through 37.40.319 reserved
37.40.320 MINIMUM DATA SET SUBMISSION, TREATMENT OF DELAYS IN SUBMISSION, INCOMPLETE ASSESSMENTS, AND CASE MIX INDEX CALCULATION access file 7/2/2004
37.40.321 CORRECTION OF ERRONEOUS OR MISSING DATA access file 7/2/2004
37.40.322 OBRA NURSE AIDE TESTING AND TRAINING COST REPORTING access file 6/28/2002
37.40.323 CALCULATED PROPERTY COST COMPONENT REP 6/28/2002
37.40.324 GRANDFATHERED PROPERTY COST COMPONENT REP 6/28/2002
37.40.325 CHANGE IN PROVIDER DEFINED access file 7/1/2013
37.40.326 INTERIM PER DIEM RATES FOR NEWLY CONSTRUCTEDFACILITIES AND NEW PROVIDERS access file 6/28/2002
Rules 37.40.327 through 37.40.329 reserved
37.40.330 SEPARATELY BILLABLE ITEMS access file 7/29/2011
37.40.331 ITEMS BILLABLE TO RESIDENTS access file 6/26/1998
Rules 37.40.332 through 37.40.335 reserved
37.40.336 REIMBURSEMENT FOR INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED access file 7/1/1995
37.40.337 REIMBURSEMENT TO OUT-OF-STATE FACILITIES access file 7/1/2003
37.40.338 BED HOLD PAYMENTS access file 2/11/2000
37.40.339 MEDICARE HOSPICE BENEFIT - REIMBURSEMENT access file 2/11/2000
Rules 37.40.340 through 37.40.344 reserved
37.40.345 ALLOWABLE COSTS access file 7/1/2003
37.40.346 COST REPORTING, DESK REVIEW AND AUDIT access file 7/2/2004
37.40.347 COST SETTLEMENT PROCEDURES access file 11/1/1991
Rules 37.40.348 through 37.40.350 reserved
37.40.351 THIRD PARTY PAYMENTS AND PAYMENT IN FULL access file 2/11/2000
37.40.352 UTILIZATION REVIEW AND QUALITY OF CARE access file 6/26/1998
Rules 37.40.353 through 37.40.359 reserved
37.40.360 LIEN AND ESTATE RECOVERY FUNDS FOR ONE-TIME EXPENDITURES REP 7/1/2003
37.40.361 DIRECT CARE AND ANCILLARY SERVICES WORKERS' WAGE REPORTING/ADDITIONAL PAYMENTS INCLUDING LUMP SUM PAYMENTS FOR DIRECT CARE AND ANCILLARY SERVICES WORKERS' WAGE AND BENEFIT INCREASES access file 7/1/2013
Subchapter 4
Swing-beds
37.40.401 SWING-BED HOSPITALS, DEFINITIONS access file 7/2/2004
37.40.402 SWING-BED HOSPITALS, PROVIDER PARTICIPATION REQUIREMENTS access file 7/2/2004
Rules 37.40.403 and 37.40.404 reserved
37.40.405 SWING-BED HOSPITALS, SPECIAL SERVICE REQUIREMENTS access file 1/1/2010
37.40.406 SWING-BED HOSPITALS, REIMBURSEMENT access file 2/27/2004
Rule 37.40.407 reserved
37.40.408 FACILITY POLICY REQUIREMENTS access file 7/2/2004
37.40.409 SPECIALIZED REHABILITATIVE SERVICES access file 7/2/2004
Rules 37.40.410 and 37.40.411 reserved
37.40.412 RESIDENT ACTIVITIES PROGRAM access file 7/2/2004
Rules 37.40.413 through 37.40.415 reserved
37.40.416 RESIDENT RIGHTS access file 7/2/2004
Rules 37.40.417 through 37.40.419 reserved
37.40.420 RESIDENT TRANSFER AND DISCHARGE RIGHTS access file 7/2/2004
37.40.421 RESIDENT POST DISCHARGE RIGHTS access file 7/2/2004
37.40.422 DIRECT CARE AND ANCILLARY SERVICES WORKERS' WAGE REPORTING/ADDITIONAL PAYMENTS INCLUDING LUMP SUM PAYMENTS FOR DIRECT CARE AND ANCILLARY SERVICES WORKERS' WAGE AND BENEFIT INCREASES access file 1/1/2010
Subchapter 7
Home Health Services
37.40.701 HOME HEALTH SERVICES DEFINITIONS access file 6/24/1997
37.40.702 HOME HEALTH SERVICES, REQUIREMENTS access file 6/24/1997
Rules 37.40.703 and 37.40.704 reserved
37.40.705 HOME HEALTH SERVICES, REIMBURSEMENT access file 7/1/2013
Subchapter 8
Hospice
37.40.801 HOSPICE, DEFINITIONS access file 7/1/1989
Rules 37.40.802 through 37.40.804 reserved
37.40.805 HOSPICE, CONDITIONS OF PARTICIPATION access file 7/1/1989
37.40.806 HOSPICE, COVERED SERVICES access file 3/16/1990
37.40.807 HOSPICE REQUIREMENTS, PLAN OF CARE access file 7/1/1989
37.40.808 HOSPICE, CERTIFICATION OF TERMINAL ILLNESS access file 7/1/1989
Rules 37.40.809 through 37.40.814 reserved
37.40.815 HOSPICE, ELECTION AND WAIVER OF OTHER BENEFITS access file 3/16/1990
37.40.816 HOSPICE, REVOCATION OF ELECTION access file 7/1/1989
Rules 37.40.817 through 37.40.824 reserved
37.40.825 HOSPICE, CHANGE OF HOSPICE access file 7/1/1989
Rules 37.40.826 through 37.40.829 reserved
37.40.830 HOSPICE, REIMBURSEMENT access file 7/1/1989
Subchapter 9
Home Dialysis for End Stage Renal Disease
37.40.901 HOME DIALYSIS FOR END STAGE RENAL DISEASE, DEFINITION access file 6/27/1980
37.40.902 HOME DIALYSIS FOR END STAGE RENAL DISEASE, REQUIREMENTS access file 6/27/1980
Rules 37.40.903 and 37.40.904 reserved
37.40.905 HOME DIALYSIS FOR END STAGE RENAL DISEASE, REIMBURSEMENT access file 10/26/2001
Subchapter 10
reserved
Subchapter 11
Personal Care
37.40.1101 PERSONAL CARE SERVICES, SERVICES PROVIDED AND LIMITATIONS access file 7/1/1995
37.40.1102 PERSONAL CARE SERVICES, REQUIREMENTS access file 6/30/2000
Rules 37.40.1103 and 37.40.1104 reserved
37.40.1105 PERSONAL CARE SERVICES, AGENCY-BASED REIMBURSEMENT access file 7/1/2013
37.40.1106 PERSONAL CARE SERVICES, PROVIDER COMPLIANCE access file 6/30/2000
Subchapter 12
reserved
Subchapter 13
Self-Directed Personal Assistance Services
37.40.1301 SELF-DIRECTED PERSONAL ASSISTANCE SERVICES, DESCRIPTION AND PURPOSE access file 12/22/1995
37.40.1302 SELF-DIRECTED PERSONAL ASSISTANCE SERVICES, APPLICATION OF GENERAL PERSONAL CARE RULES access file 7/29/2011
37.40.1303 SELF-DIRECTED PERSONAL ASSISTANCE SERVICES, REIMBURSEMENT access file 7/1/2013
Rule 37.40.1304 reserved
37.40.1305 SELF-DIRECTED PERSONAL ASSISTANCE SERVICES, CONSUMER REQUIREMENTS access file 12/22/1995
37.40.1306 SELF-DIRECTED PERSONAL ASSISTANCE SERVICES, PLAN OF CARE REQUIREMENTS access file 12/22/1995
37.40.1307 SELF-DIRECTED PERSONAL ASSISTANCE SERVICES, PROVIDER REQUIREMENTS access file 12/22/1995
37.40.1308 SELF-DIRECTED PERSONAL ASSISTANCE SERVICES, GENERAL REQUIREMENTS access file 12/22/1995
Rules 37.40.1309 through 37.40.1314 reserved
37.40.1315 SELF-DIRECTED PERSONAL ASSISTANCE SERVICES, COMPLIANCE REVIEWS access file 6/30/2000
Subchapter 14
Home and Community-Based Services
37.40.1401 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS AUTHORITY AND SCOPE OF PROGRAM access file 7/28/2000
37.40.1402 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSON: DEFINITIONS access file 8/26/2011
Rules 37.40.1403 through 37.40.1405 reserved
37.40.1406 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: SERVICES access file 8/26/2011
37.40.1407 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: GENERAL REQUIREMENTS access file 8/26/2011
37.40.1408 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: ENROLLMENT access file 8/26/2011
Rules 37.40.1409 through 37.40.1414 reserved
37.40.1415 HOME AND COMMUNITY BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: REIMBURSEMENT access file 8/26/2011
Rules 37.40.1416 through 37.40.1419 reserved
37.40.1420 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: SERVICE PLANS access file 8/26/2011
37.40.1421 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: COST OF SERVICE PLAN access file 8/26/2011
37.40.1422 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: COMMUNITY TRANSITION SERVICES, REQUIREMENTS access file 8/26/2011
37.40.1423 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: FINANCIAL MANAGEMENT, REQUIREMENTS access file 8/26/2011
37.40.1424 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: INDEPENDENCE ADVISOR, REQUIREMENTS access file 8/26/2011
37.40.1425 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: CONSUMER-DIRECTED GOODS AND SERVICES, REQUIREMENTS access file 8/26/2011
37.40.1426 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: NOTICE AND FAIR HEARING access file 8/26/2011
37.40.1427 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: FAMILY TRAINING AND SUPPORT, REQUIREMENTS access file 8/26/2011
37.40.1428 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: PAIN AND SYMPTOM MANAGEMENT, REQUIREMENTS access file 8/26/2011
Rule 37.40.1429 reserved
37.40.1430 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: CASE MANAGEMENT, REQUIREMENTS access file 8/26/2011
37.40.1431 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: HOMEMAKER CHORE, REQUIREMENTS access file 8/26/2011
Rules 37.40.1432 through 37.40.1434 reserved
37.40.1435 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: ADULT RESIDENTIAL CARE, REQUIREMENTS access file 8/26/2011
37.40.1436 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: COMMUNITY SUPPORTS SERVICES, REQUIREMENTS access file 8/26/2011
37.40.1437 HOME AND COMMUNITY-BASED SERVICES TREATMENT FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: COMMUNITY RESIDENTIAL REHABILITATION, REQUIREMENTS REP 8/26/2011
37.40.1438 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: SUPPORTED LIVING, REQUIREMENTS access file 8/26/2011
37.40.1439 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: SENIOR COMPANION SERVICES, REQUIREMENTS access file 8/26/2011
37.40.1440 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: PARTICIPATION DIRECTION access file 8/26/2011
37.40.1441 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: HEALTH AND WELLNESS, REQUIREMENTS access file 8/26/2011
Rules 37.40.1442 through 37.40.1444 reserved
37.40.1445 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: ADULT DAY HEALTH access file 7/28/2000
37.40.1446 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: POST-ACUTE REHABILITATION SERVICES, REQUIREMENTS access file 8/26/2011
37.40.1447 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: PERSONAL ASSISTANCE, REQUIREMENTS access file 7/28/2000
37.40.1448 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: HABILITATION, REQUIREMENTS access file 8/26/2011
37.40.1449 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: SPECIALLY TRAINED ATTENDANT CARE, REQUIREMENTS access file 8/26/2011
37.40.1450 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: HOMEMAKING, REQUIREMENTS access file 7/28/2000
37.40.1451 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: RESPITE CARE, REQUIREMENTS access file 8/26/2011
37.40.1452 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: SPECIALIZED CHILD CARE FOR MEDICALLY FRAGILE CHILDREN, REQUIREMENTS access file 8/26/2011
Rules 37.40.1453 through 37.40.1459 reserved
37.40.1460 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: OUTPATIENT OCCUPATIONAL THERAPY, REQUIREMENTS access file 7/28/2000
37.40.1461 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: OUTPATIENT PHYSICAL THERAPY, REQUIREMENTS access file 7/28/2000
37.40.1462 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: SPEECH PATHOLOGY AND AUDIOLOGY, REQUIREMENTS access file 7/28/2000
37.40.1463 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: RESPIRATORY THERAPY, REQUIREMENTS access file 7/28/2000
37.40.1464 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: PSYCHO-SOCIAL CONSULTATION, REQUIREMENTS REP 8/26/2011
37.40.1465 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: CONSULTATIVE CLINICAL AND THERAPEUTIC SERVICES, REQUIREMENTS access file 8/26/2011
37.40.1466 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: CHEMICAL DEPENDENCY COUNSELING, REQUIREMENTS REP 8/26/2011
37.40.1467 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: COGNITIVE REHABILITATION, REQUIREMENTS REP 8/26/2011
Rules 37.40.1468 through 37.40.1474 reserved
37.40.1475 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: DIETETIC SERVICES, REQUIREMENTS access file 7/28/2000
37.40.1476 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: NUTRITION, REQUIREMENTS access file 7/28/2000
37.40.1477 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: NURSING, REQUIREMENTS access file 7/28/2000
Rules 37.40.1478 through 37.40.1484 reserved
37.40.1485 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: ENVIRONMENTAL ACCESSIBILITY ADAPTATION, REQUIREMENTS access file 7/28/2000
37.40.1486 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: PERSONAL EMERGENCY RESPONSE SYSTEMS, REQUIREMENTS access file 7/28/2000
37.40.1487 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: SPECIALIZED MEDICAL EQUIPMENT AND SUPPLIES, REQUIREMENTS access file 7/28/2000
37.40.1488 HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: NONMEDICAL TRANSPORTATION, REQUIREMENTS access file 8/26/2011
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