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UNOFFICIAL 1737-30 (B) Participate in establishing an initial individual program plan for a newly admitted client; and (11) Provision of necessary services, including emergency and other health care through contractual agreements which shall: (A) Stipulate the responsibilities, functions, objectives, service fee, and other terms agreed to by the ICF-MR and the provider; and (B) Provide that the ICF-MR is responsible for assuring that the outside services meet the standards for quality of services. [Eff 08/01/94; am 02/10/97 ] (Auth: HRS §346- 14; Pub. L. No. 100-203; 42 C.F.R. §§430.10, 431.10, 483.400) (Imp: Pub. L. No. 100-203; 42 C.F.R. §§483.400; 483.480)

§17-1737-31 Determining the applicant's or recipient's need for long-term institutional services. (a) The provision for the determination of need for admission to a long-term institution are based on a physician's and other appropriate health care professional's assessment of the applicant's or recipient's condition and recommendation of the applicant's or recipient's need for a specific acuity level (or level of medical care).

(b) Their recommendation of the applicant's or recipient's need for a specific acuity level (or level of medical care) shall be based on the following criteria: (1) Acuity Level A recipient requires licensed nursing and ancillary nursing personnel services on a regular and long-term basis to maintain, improve, or safeguard health, or to minimize disability or pain. The services provided shall be beyond room, board, and personal care services available in personal care home, and shall: (A) Be available to recipients who require assistance with the normal activities of daily living twenty-four hours a day; (B) Be ordered by a physician and shall be provided under the direction of the attending physician or staff physician; (C) Be planned, provided, and maintained by licensed and ancillary nursing personnel