| (a) The LMHA or LBHA must comply with §303.302
of this chapter (relating to LIDDA, LMHA, and LBHA Responsibilities
Related to the PASRR Process).
(b) At the initial IDT meeting, an LMHA or LBHA staff
must:
(1) review the MI specialized services recommended
on the PE;
(2) explain the uniform assessment;
(3) ensure the resident with MI, or LAR on behalf of
the resident with MI, understands the purpose of the uniform assessment;
and
(4) have the resident with MI, or LAR on behalf of
the resident with MI, agree or decline to receive the uniform assessment
and MI specialized services.
(c) Within 20 business days after the IDT meeting,
if the resident with MI or LAR agrees, the LMHA or LBHA must:
(1) complete the uniform assessment;
(2) develop the PCRP; and
(3) for a resident with MI only, convene a meeting
in person, or in extenuating circumstances via audio-visual communication,
to discuss the results of the uniform assessment and PCRP, and to
determine the MI specialized services the resident with MI will receive.
(d) Attendees at the meeting convened in accordance
with subsection (c)(3) of this section must include:
(1) the QMHP-CS who is familiar with the needs of the
resident with MI;
(2) the resident with MI;
(3) the LAR for the resident with MI, if any; and
(4) a NF staff person familiar with the needs of the
resident with MI.
(e) At the meeting convened in accordance with subsection
(c)(3) of this section, the QMHP-CS must ensure the resident with
MI, regardless of whether he or she has an LAR, participates in the
meeting to the fullest extent possible and receives the support necessary
to do so, including communication supports.
(f) The LMHA or LBHA must provide a copy of the completed
uniform assessment and PCRP to the NF for inclusion in the NF comprehensive
care plan for the resident with MI within 10 calendar days after the
meeting convened in accordance with subsection (c)(3) of this section.
(g) Before the LMHA or LBHA conducts the meeting described
in subsection (c)(3) of this section via audio-visual communication,
the LMHA or LBHA must:
(1) do one of the following:
(A) obtain the written informed consent of the resident
with MI or LAR; or
(B) obtain oral consent from the resident with MI or
LAR and document the oral consent in the record of the resident with
MI; and
(2) document in the record of the resident with MI
a description of the extenuating circumstances which required the
use of audio-visual communication.
(h) If the LMHA or LBHA does not obtain the written
or oral consent required by subsection (g) of this section, the LMHA
or LBHA must:
(1) document the resident with MI's or LAR's refusal
in the record of the resident with MI; and
(2) convene a meeting in person as soon as possible
after the extenuating circumstances no longer exist.
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