10. Special case determinations

340:100-15-10. Special case determinations

Issued 7-14-98

(a) Special case determinations may be required for individuals with mental retardation or a related condition(s) who would benefit from nursing facility level of care due to unusual circumstances other than medical needs.

(b) In order to make a special case determination that an individual with mental retardation or a related condition(s) would benefit from nursing facility level of care due to unusual circumstances other than medical needs, staff of the Mental Retardation Authority must:

(1) consider all factors including:

(A) the individual circumstances presented;
(B) the individual's mental and emotional support needs;
(C) all available assessment information;
(D) any other relevant information; and
(E) availability of other formal and informal supports; and

(2) provide written specific rationale in support of the exception noting the unique and individualized circumstances of the case.

Library: Policy