Intermediate Care Facility for the Developmentally Disabled – Continuous Nursing Pilot Project (ICF/DD-CN)

Pilot program to test a new licensing category that provides continuous nursing care to medically fragile developmentally disabled beneficiaries in the least restrictive setting.

• Type of Waiver
• Eligibility Requirements
• Services Provided
• Funding Source
• Enrollment Cap
• Waiver Term
• Links for Additional Information
 

Type of Waiver

1915(b) Freedom of Choice Waiver

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Eligibility Requirements 

• Medi-Cal program eligibility. Consumers enrolled in managed care health plans are not eligible to participate in the Pilot Project
• Certified by the regional center as developmentally disabled as defined by W & I Code §4512 and eligible for special treatment programs
• Enrolled in the regional center
• Medical necessity for continuous skilled nursing care and observation
• Be free of clinically active communicable disease reportable under Title 17, California Code of Regulations (CCR) §2500
• Have an Acknowledgment of Participation Document completed and on file. This form will be completed by the consumer or
  conservator/legal guardian
• Enrollment must not negatively impact the cost effectiveness of the waiver as defined by the following: The total costs of the waiver,
  including program benefits and administrative costs, must not be greater than the cost of providing like services without the waiver

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Services Provided

• Continuous Nursing
• Ventilator Care and Management
• Tracheotomy Care and Suctioning
• Oxygen Delivery and Monitoring / CPAP
• Suctioning
• Intermittent and/or Continuous IV Therapies. Care of any intravenous apparatus including, but not limited to heparin or saline locks; Peripherally Inserted Central Catheters (PICC) or implanted devices, as applicable
• Nasogastric, gastrostomy, or jejunostomy tubes (care and management)
• Indwelling or suprapubic catheters
• Total Parenteral Nutrition
• Insulin dependence diabetic management
• Hemodialysis access devices and/or peritoneal dialysis
• Medication Administration, including review of individual medication management
• Decubitus Care Stage III and above, wound care and/or other skin treatments
• 24-Hour Skilled Nursing and other skilled nursing services as approved by TAR
• All ICF/DD-CN services, including:
• Physician Services, Nursing Services, supervision and supportive health services
• Personal care and choice
• Developmental Training including individual program planning
• Habilitation including behavior modification planning, as appropriate
• Community integration

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Funding Source

Federal Medicaid; no additional funding

Enrollment Cap

36

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Waiver Term

October 1, 2007 through September 30, 2009

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Links for Additional Information