Chapter 245D — Home and Community-Based Services Standards

245D.01 Citation This chapter is officially called the 'Home and Community-Based Services Standards' or 'HCBS Standards.' It covers the … 245D.02 Definitions This section defines the key terms used in the HCBS Standards, including what counts as a 'service,' 'direct support … 245D.03 Applicability and Effect This section lists which services are covered by the HCBS Standards, including day services, residential support, … 245D.04 Service Recipient Rights Service providers must protect the rights of the people they serve, including the right to be treated with dignity and … 245D.05 Health Services When a person's support plan assigns health service needs to the provider, the provider is responsible for meeting them … 245D.051 Psychotropic Medication Use and Monitoring This section governs how a disability services provider handles psychotropic medications when it is responsible for … 245D.06 Protection Standards This section sets broad safety and protection standards for disability services providers. It requires providers to … 245D.061 Emergency Use of Manual Restraints Emergency use of manual restraints is only allowed when a person's behavior poses an immediate danger. Staff must be … 245D.07 Service Planning and Delivery This section requires disability services providers to deliver the services assigned in the person's support plan, using … 245D.071 Service Planning and Delivery; Intensive Support Services This section sets the planning and delivery requirements for intensive support services. The provider must create an … 245D.08 This section number has no operative statutory text; the page shows only a session law citation (2013 c 108 art 8 s 61) … 245D.081 Program Coordination, Evaluation, and Oversight This section makes the license holder responsible for coordinating and evaluating each person's services and for overall … 245D.09 Staffing Standards This section sets staffing standards for license holders, requiring enough qualified, supervised direct support staff to … 245D.091 Intervention Services This section sets qualifications for staff who provide intervention services, including behavioral support, specialist, … 245D.095 Record Requirements This section sets the record-keeping requirements for license holders, including keeping service recipient, personnel, … 245D.10 Policies and Procedures A license holder providing basic or intensive home and community-based supports must establish and maintain written … 245D.11 Policies and Procedures; Intensive Support Services A license holder providing intensive support services must establish, enforce, and maintain written policies and … 245D.12 Integrated Community Supports; Setting Capacity Report A license holder providing integrated community supports must submit a setting capacity report to the commissioner so … 245D.13 Out-of-home Respite Care Services for Children A provider may offer out-of-home respite care services for children only in a licensed setting, unless an exemption … 245D.21 Facility Licensure Requirements and Application Process Community residential settings and day service facilities must pass fire, health, building, and zoning inspections … 245D.22 Facility Sanitation and Health Licensed facilities must be kept clean, safe, and in good repair. This section covers rules for maintenance, hazardous … 245D.23 Community Residential Settings; Satellite Licensure Requirements and Application Process Each community residential setting at a different address needs its own satellite license. These homes are treated as … 245D.24 Community Residential Settings; Physical Plant and Environment Community residential settings must have proper furnishings, bedrooms with enough space, and personal storage for each … 245D.25 Community Residential Settings; Food and Water Community residential settings must provide safe drinking water, three nutritious meals per day, and snacks. Food must … 245D.26 Community Residential Settings; Sanitation and Health Community residential settings must provide clean linens, household supplies, and a clean living environment. This … 245D.261 Community Residential Settings; Remote Overnight Supervision Community residential settings may use technology for remote overnight supervision instead of having staff on-site, but … 245D.27 Day Services Facilities; Satellite Licensure Requirements and Application Process Day service providers must get a separate satellite license for each facility where they provide services. If the … 245D.28 Day Services Facilities; Physical Plant and Space Requirements Day service facilities must have at least 40 square feet of primary space per person and provide each person with … 245D.29 Day Services Facilities; Health and Safety Requirements Day service facilities must keep any refrigeration used for perishable food at 40 degrees Fahrenheit or less, make … 245D.31 Day Services Facilities; Staff Ratios and Facility Coverage Facility-based day services must staff according to each participant's assessed needs. At least once a year, the case … 245D.32 Alternative Licensing Inspections Providers with a strong track record of compliance and a qualifying national accreditation may request an alternative … 245D.33 Adult Mental Health Certification Standards The commissioner can issue a voluntary mental health certification for providers licensed under this chapter who meet …