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Virginia Administrative Code
Title 22. Social Services
Agency 30. Department For Aging And Rehabilitative Services
Chapter 110. Assessment in Assisted Living Facilities
11/23/2024

22VAC30-110-90. Actions to be taken upon completion of the uniform assessment instrument.

A. Actions to be taken upon completion of the uniform assessment instrument for public pay individuals.

1. Upon completion of the UAI for initial assessment 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 benefits 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; (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 signed provider agreement with DMAS to conduct assessments.

2. A completed copy of the UAI, the referral to the local department benefits 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 or case manager 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 where the individual resides 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 earliest date that an annual reassessment may be completed is 60 calendar days prior to the annual reassessment due date.

5. After the annual reassessment has been completed, if the individual still meets either residential or assisted living level of care, the qualified assessor or case manager shall offer the individual the choice, based on availability, of housing option pursuant to § 51.5-160 of the Code of Virginia.

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

Statutory Authority

§§ 51.5-131 and 51.5-146 of the Code of Virginia.

Historical Notes

Former 22VAC40-745-90, derived from VR615-46-02 § 2.8, eff. February 1, 1996; amended, Virginia Register Volume 23, Issue 1, eff. November 1, 2006; Volume 28, Issue 23, eff. August 15, 2012; renumbered as 22VAC30-110-90, Virginia Register Volume 30, Issue 1, eff. October 10, 2013; amended, Virginia Register Volume 31, Issue 11, eff. February 25, 2015; Volume 37, Issue 19, eff. June 9, 2021.

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