340:100-5-35.1. Habilitation training specialist (HTS) services in acute care hospitals
(a) Applicability. HTS services, per Oklahoma Administrative Code (OAC) 317:30-5-482, are authorized, per OAC 317:40-5-110 or 317:40-5-111, and OAC 340:100-3-33; and apply to HTS services provided to adult service recipients receiving community residential supports, group home services, and in non-residential settings, per OAC 340:100-5-22.1, 340:100-6, and 340:100-5-35.
(b) General information.
(1) HTS services are authorized in an acute care hospital per the 21st Century Cares Act when the service is:
(A) identified in an individual’s person-centered plan of services and supports;
(B) provided to meet needs of the individual that are not met through the provision of hospital services;
(C) not a substitute for services the hospital is obligated to provide through its conditions of participation or under federal or state law; and
(D) designed to ensure smooth transitions between acute care settings and home and community-based settings, and to preserve the individual’s functions.
(2) HTS services are available in an acute care hospital for no more than 14- consecutive, calendar days per event, not to exceed 60-calendar days per Plan of Care year, up to the following limits no more than:
(A) 16 hours per day for those receiving daily living supports, per OAC 317:40-5-150 or 317:40-5-153;
(B) 24 hours per day for those receiving services for Prader-Willi Syndrome, per OAC 340:100-5-34;
(C) nine hours per day for those receiving agency companion services, per OAC 317:40-5;
(D) nine hours per day for those receiving specialized foster care, per OAC 317:40-5;
(E) nine hours per day for those receiving group home services, per OAC 340:100-6;
(F) 24 hours per day for those receiving alternative group home services, per OAC 340:100-5-22.6;
(G) nine hours per day for those who do not receive community residential supports, per OAC 340:100-5-22.1; group home services, per OAC 340:100-6; or alternative group home services, per OAC 340:100-5-22.6.
(3) Exceptions to the nine hours per day limit may be authorized by the DDS director or designee when needed for service recipients who require additional supports. The DDS director or designee may authorize HTS services provided in psychiatric facilities when required for admission to address issues such as significant daily living, communication and other needs.
(4) HTS services in an acute care hospital are:
(A) only authorized during times the service recipient is typically awake. HTS services are utilized during normal sleep hours when the service recipient demonstrates a pattern of not sleeping at night;
(B) not intended to provide more than one Waiver funded staff at a time;
(C) not provided by the service recipient's agency companion, per OAC 317:40-5; and
(D) not provided at the same time as DLS therapeutic leave, per OAC 317:40-5-150 or 317:40-5-153.