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House Journal: Page 1196: Monday, April 8, 2002

6 SERVICES PROVIDERS.
7 1. The department of human services may adopt
8 rules utilizing the emergency procedures provided in
9 subsection 4 as necessary to implement the high-
10 priority recommendation items identified by the
11 department's rehabilitative treatment services
12 provider regulation and quality improvement work group
13 listed in this section. In order to implement a
14 listed item, the department must determine that the
15 item can be implemented without additional cost to the
16 state and, if implementation of the item requires a
17 state medical assistance program plan amendment, the
18 item must be approved by the federal center for
19 Medicare and Medicaid services.
20 2. Subject to the implementation conditions in
21 subsection 1, the department shall adopt rules to take
22 effect on or before April 1, 2003, or within sixty
23 days after receiving the federal center's approval,
24 whichever is later, to implement all of the following:
25 a. Permitting deemed status for those providers of
26 services that are certified, or accredited to be in
27 compliance with relevant standards by the joint
28 commission on the accreditation of health care
29 organizations or the council on accreditation of
30 services for families and children and that make
31 accreditation reports and records available to the
32 department.
33 b. Amending rules to maintain the group care
34 standard for a weekly average number of hours of
35 therapy and counseling, but determine compliance by
36 averaging the hours per week over the course of a
37 month. The recoupment for failure to comply shall be
38 applied for a week at a time for noncompliance, not to
39 exceed the number of days paid. This standard shall
40 not be applied to a highly structured juvenile group
41 care program.
42 c. Expanding the set of qualifications accepted
43 for rehabilitative treatment services staff positions.
44 d. Utilizing a weekly results summary for
45 documentation of the group care requirement for daily
46 provision of skills development.
47 3. Subject to the implementation conditions in
48 subsection 1, the department shall adopt rules to take
49 effect on or before December 31, 2003, or within sixty
50 days after receiving the federal center's approval,

Page 2

1 whichever is later, to implement all of the following:
2 a. Eliminating the requirements that a case
3 permanency plan be included in the provider's records,
4 that the setting in which the service was provided be


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