Section 90. Actions to be taken upon completion of the uniform assessment instrument

A. Public pay individuals.

1. Upon completion of the UAI for admission, a significant change in the individual's condition, or the annual reassessment, the case manager or a qualified assessor shall forward to the local department of social services eligibility worker in the appropriate agency of jurisdiction, in the format specified by the department, the effective date of admission or change in level of care. Qualified assessors who are authorized to perform the annual reassessment or a change in level of care for public pay individuals are employees of (i) local departments of social services; (ii) area agencies on aging; (iii) centers for independent living; (iv) community services boards or behavioral health authority; and (v) local departments of health, or an independent physician who has a contract with DMAS to conduct assessments.

2. The completed UAI, the referral to the eligibility worker, and other relevant data shall be maintained in the individual's record at the ALF.

3. The annual reassessment shall be completed by the qualified assessor conducting the initial assessment. If the original assessor is neither willing nor able to complete the assessment and another assessor is not available, the local department of social services where the individual resides in the ALF shall be the assessor, except that individuals who receive services from a community service board or behavioral health authority shall be assessed and reassessed by qualified assessors employed by the community services board or behavioral health authority.

4. The ALF shall notify the community services board or behavioral health authority when UAIs indicate observed behaviors or patterns of behavior indicative of mental illness, intellectual disability, substance abuse, or behavioral disorders, pursuant to § 63.2-1805 B of the Code of Virginia.

B. For private pay individuals, the ALF shall ensure that assessments for all individuals at admission and at subsequent intervals are completed as required in this chapter. The ALF shall maintain the individual's UAI and other relevant data in the individual's ALF record.

Historical Notes

Former 22VAC40-745-90, derived from VR615-46-02 § 2.8, eff. February 1, 1996; amended, Volume 23, Issue 01, eff. November 1, 2006; Volume 28, Issue 23, eff. August 15, 2012; renumbered as 22VAC30-110-90, Virginia Register Volume 30, Issue 01, eff. October 10, 2013; amended, Virginia Register Volume 31, Issue 11, eff. February 25, 2015.

Statutory Authority

§ 51.5-131 of the Code of Virginia.