legislation/laws Flashcards
What is AC MRDD?
Accreditation Council for Services for Mentally
Retarded and Developmentally Disabled
What is the National Alliance for the Mentally Ill?
Provides support groups open to clients & families with a focus on education and support for mental illness
Americans with Disabilities Act of 1990
prohibits discrimination based on disabilities
- access to buildings (places of public accommodation- hotels, restaurants, commercial facilities)
- accessible parking spots 36 inches wide
Child Abuse Prevention & Treatment Act (CAPTA)
Defines child abuse & neglect as mental or physical injury, negligent treatment, maltreatment, or sexual abuse of a child under 18 by a person responsible for child’s welfare under circumstances that indicate a child’s welfare or health is threatened/harmed
Older Americans Act of 1965 (OAA)
goal of supporting older Americans to live at home and in the community with dignity and independence for as long as possible
Aging in Place
Section 508 of the Rehabilitation Act
federal law that requires agencies to provide individuals with disabilities equal access to electronic information and data comparable to those who do not have disabilities
Section 504 of the Rehabilitation Act
a federal civil rights law that prohibits discrimination based on disability in any program or activity operated by recipients of federal funds
Section 501 of the Rehabilitation Act
prohibits employment discrimination against people with disabilities in the federal sector
- no min # of employees at worksite to be covered
Rehabilitation Act of 1973
- Affirmative action
- Prohibits discrimination on basis of disability in any program or activity that receives federal assistance
Patient Protection & Affordable Care Act (ACA)
Improve accessibility, fairness, quality, efficiency, accountability, affordability of health insurance coverage in the US
Health Insurance Portability & Accountability Act (HIPPA)
- safeguards to assure individual’s right to continuity in healthcare coverage
- privacy & security of healthcare records
- all providers protect patient confidentiality in all forms (oral, written, electronic)
- implement appropriate physical, technical, & administrative safeguards to assure this privacy
what are exceptions to confidentiality?
- mandatory reporting of suspected abuse
- information required by law during court proceedings, and documentation of communicable diseases to public health agencies
- Posting photos of a patient on social media is only allowed if written consent is provided
- no electronic health information or anything, including photos, that may reveal a patient’s identity or personal or therapeutic relationship, without the patient’s written consent
- for research, any protected health information (PHI) that can identify a patient or the patient’s relatives, employers, or household members, must be omitted before being used
Medicare Title 18-PL 89-97 (Social Security)
- Established Medicare & Supplemental Security Income (SSI)
- SSI enables people with disabilities to receive a monthly income enabling them to live in the community
Medicare Part A
hospital insurance
- acute care (min 5 days/week with OT)
- part of expenses in inpatient hospital stay (PPS)
- short term stay at SNF (100 days with OT 5x per week)
- psychiatric hospital
- hospice with less than 6 months to live
- some home health (must be homebound, require skilled services, OASIS determines)
does Medicare Part A require monthly premiums?
no, payroll taxes for individuals/spouses have already paid for it
is DME covered in a SNF?
yes, under Medicare Part A, commode chairs, hospital beds, patient lifts are covered
Medicare Part B
supplementary medical insurance
- outpatient care: OT 3x per week
- some home health
- some supplies & equipment (only DME)
Medicare Part C
medicare advantage plan
- offered by private company that contracts with medicate
Medicare Part D
prescription drug coverage
what part of medicare is hospital insurance?
Part A
what part of Medicare is supplementary medical insurance?
Part B
What is considered DME?
walkers, wheelchairs
- not AE (reachers)
- may cover bedside commode depending on patient’s condition
when is someone considered homebound?
- help of another person or medical equipment to leave your home or health could get worse if leaving home
- Dr evaluates/recertifies POC every 60 days
- can still leave home for medical treatment, religious services, accredited adult day care center
- can leave home for short periods for non-medical events (family reunion) without affecting homebound status
What medicare G code indicates goal status?
G8988
what medicare G code indicates goal discharge?
G8989
what does the medicare G code of CH mean?
severity modifier/least severe
0% impaired, limited, restricted
what does the medicare G code of CN mean?
severity modifier/most severe
100% impaired, limited, restricted
school based documentation
IEP
early intervention documentation
IFSP
IEP
written document detailing student’s academic needs/functional goals in that setting
- collaboratively developed with family/team members
- ages 3-21 years
- must relate to ability to perform school-related tasks
IFSP
early intervention (birth to 3)
- lay terms documentation for parents to understand
- collaboratively discussed with family & team members when evaluations are complete
how many credits are required for licensure renewal via NBCOT?
at least 36 credits during 3 year renewal cycle for OTs and COTAs
PDU
professional developmental unit (renewal program)
- all can be completed online via webinars or online training
CEU
unit of credit equal to 10 hours of participation in accredited program
- 1 single hour participating in a course is equal to 0.1 CEUs
EX: 2 hr lecture = 0.2 CEUs
how long must copies of course completion be maintained after renewal?
4 years
how are PAMs regulated?
by state, must have continuing ed
precertification from insurance companies
- form that must be submitted for services for some insurances
