section .2400 – criteria and standards for intermediate care
facility/mentally retarded (ICf/mr)
10A NCAC 14C .2401 DEFINITIONS
The definitions in this Rule shall apply to all rules in
this Section:
(1) "Intermediate care facility for the mentally
retarded (ICF/MR)" shall have the same meaning as defined in G.S.
131E-176(14a).
(2) "Active treatment" means:
(a) regular participation in professionally
developed and supervised activities, experiences, or therapies in accordance
with an individual plan of care;
(b) an individual plan of care which is a
written plan that is based on individual choice and sets forth measurable goals
or behaviorally stated objectives and prescribes an integrated program of individually
designed activities, experiences or therapies necessary to achieve such goals
or objectives;
(c) an interdisciplinary professional evaluation
consisting of complete medical, social, or psychological diagnosis and an
evaluation of the individual's need for the facility's care, prior to admission
but not to exceed three months before admission to the facility or, in the case
of individuals who make application while in such facility, before requesting
payment under the plan;
(d) re‑evaluation medically, socially, and
psychologically, at least annually by the staff involved in carrying out the
resident's individual plan of care, including review of the individual's
progress toward meeting the plan of care, assessment of continuing need for
facility care, and consideration of alternate methods of care; and
(e) an individual plan (as part of the
individual's total plan of care) developed prior to discharge that is based on
individual choice by a qualified developmental disabilities professional and
other appropriate professionals, which includes the present residence,
specifying the type of care and services that will be needed to enable the
individual to function in a different environment and also includes provisions
for protective supervision.
(3) "Qualified Developmental Disabilities
Professional" means a staff person in an ICF/MR facility designated to be
responsible for supervising the implementation of each resident's individual
plan of care, integrating the various aspects of the facility's program, recording
each resident's progress and initiating periodic review of each individual plan
of care. A Qualified Developmental Disabilities Professional shall meet the
minimum qualifications for employment as defined in the 42 CFR 483.430 which is
incorporated by reference including all subsequent amendments.
(4) "Catchment area" means the geographic
part of the State served by a specific area authority ("Area
authority" means the Mental Health, Developmental Disabilities, and
Substance Abuse Authority.)
History Note: Authority G.S. 131E‑177(1), (5);
131E-183;
Eff. December 1, 1981;
Amended Eff. November 1, 1996; September 1, 1989.