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(2) Skilled nursing intervention at least once per shift.
(3) Types of interventions required in group IV pediatric subacute level of care are:
(A) Continuous intravenous therapy for administration of therapeutic agents or hydration, or intermittent IV therapy
for the administration of therapeutic drugs at least once a shift through a
peripheral of central line (antibiotics, nonvesican oncology chemotherapy, and analgesics, TPN).
(B) Two or more of the following services:
(i)Tracheostomy care with suctioning not more than once in…#
(i) Tracheostomy care with suctioning not more than once in an eight hour shift and does not require continuous monitoring;
(ii)Debridement, packing, and medicated irrigation, aseptic…#
(ii) Debridement, packing, and medicated irrigation, aseptic dressing
changes, extensive care of decubiti (stage III), or wound infection and drains.
(iii) Skilled supervision and monitoring of nutritionally compromised patients with eating disorders at high risk of medical complications
if managed in an outpatient setting;
(iv) At least daily inhalation therapy by skilled staff; or
(v) Multiple (two or more modalities) rehabilitative services required daily with short and long term attainable goals.
(e) Admission to the subacute level for individuals who require other services shall be made on a case-by-case basis. [Eff 11/25/96; am 06/19/00 ] (Auth: HRS §346-14; 42 C.F.R. §431.10) (Imp: HRS §346-14)
§17-1737-121 Exclusions. Subacute payments shall not be made for the following patients: (1) Patients who are medically unstable and require acute inpatient care in an acute care hospital; or (2) Patients whose level of care is appropriately level C (SNF), level A (ICF), level B
(ICF-MR), or lower. Included in this group are the following: