| Be it enacted by the People of the State of Maine as follows: |
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| | Sec. 1. 22 MRSA §3174-I, sub-§1, ¶B-2, as enacted by PL 1995, c. 687, | §1, is amended to read: |
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| B-2. The department shall establish additional assessment | practices and related policies for persons with Alzheimer's | disease and other dementias as follows. |
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| (1) For persons who have been assessed using the | department's primary assessment instrument and found to | have cognitive or behavioral difficulties but who do | not require nursing intervention with the frequency | necessary to qualify for nursing facility level of | care, the department shall administer a supplemental | dementia assessment for those persons with cognitive | and behavioral impairments. By May 1, 1996, the | criteria reflected in this supplemental dementia | assessment and the scoring mechanism must be | incorporated into rules adopted by the department in | consultation with consumers, providers and other | interested parties. The assessment criteria proposed | in the rulemaking must consider, but are not limited | to, the following: orientation, memory, receptive | communication, expressive communication, wandering, | behavioral demands on others, danger to self or others | and awareness of needs. |
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| (2) The department shall reimburse a nursing facility | for individuals who are eligible for care based on the | supplemental dementia assessment only if the nursing | facility demonstrates a program of training in the care | of persons with Alzheimer's disease and other dementias | for all staff responsible for the care of persons with | these conditions. The department, in consultation with | consumers, providers and interested parties, shall | develop the requirements for training and adopt rules | containing those requirements. By July 1, 1997, the | department, in consultation with consumers, providers | and interested parties, shall adopt rules establishing | the standards for treatments, services and settings to | meet the needs of individuals who have Alzheimer's | disease and other dementias. These standards must | apply to all levels of care available to such | individuals. |
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| (3) No later than January 15, 1997, the department shall report | to the joint standing committee of the Legislature having | jurisdiction over health and human service matters on the extent | to which the use of the |
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