441—82.10 (249A) Discharge and transfer.
	 82.10(1) Notice. When a Medicaid member requests transfer or discharge to a community setting, or another person requests this for the member, the administrator shall promptly notify a targeted case management provider. Names of local providers are available from the department’s local office. This shall be done in sufficient time to permit a case manager to assist in the decision and planning for the transfer or discharge.
	 82.10(2) Case activity report. A Case Activity Report, Form 470-0042, shall be submitted to the department whenever a Medicaid applicant or member enters the facility, changes level of care, or is discharged from the facility.
	 82.10(3) Plan. The administrator and staff shall assist the resident in planning for transfer or discharge through development of a discharge plan.
	 82.10(4) Transfer records. When a resident is transferred to another facility, transfer information shall be summarized from the facility’s records in a copy to accompany the resident. This information shall include:
	  a.   	 A transfer form of diagnosis.
	  b.   	 Aid to daily living information.
	  c.   	 Transfer orders.
	  d.   	 Nursing care plan.
	  e.   	 Physician’s or qualified mental retardation professional’s orders for care.
	  f.   	 The resident’s personal records.
	  g.   	 When applicable, the personal needs fund record.
	 82.10(5) Income refund. When a resident leaves the facility during the month, any unused portion of the resident’s income shall be refunded.
This rule is intended to implement Iowa Code section 249A.12.
[ARC 8207B, IAB 10/7/09, effective 12/1/09]