LD 1733
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LD 1733 Title Page An Act to Amend the Laws Regarding the Provision of Services to Persons with Al... Page 2 of 2
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LR 23
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 22 MRSA §3174-I, sub-§1, ¶B-2, as enacted by PL 1995, c. 687,
§1, is amended to read:

 
B-2. The department shall establish additional assessment
practices and related policies for persons with Alzheimer's
disease and other dementias as follows.

 
(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.

 
(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.

 
(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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