Rule 350-3-.06. Monitoring.

Georgia Administrative Code

Department 350. DEPARTMENT OF MEDICAL ASSISTANCE

Chapter 350-3. SANCTIONS FOR NURSING FACILITIES

Current through Rules and Regulations filed through November 19, 2020

Rule 350-3-.06. Monitoring

(1) The Department shall maintain procedures and adequate staff on-site, on a regular, as-needed basis, to monitor the facility's operations, advise the facility in its effort to come into or maintain compliance, to report to the licensing agency, and to investigate complaints of violations which are not easily verified on one visit.
(a) One or more monitor(s) shall be placed in the nursing facility:
1. when it has been found on three (3) standard surveys that the nursing facility has provided substandard quality of care;
2. when the facility has been under temporary management;
3. to ensure that Class A & B violations have been and continue to be corrected; or
4. when the Department has reason to question a nursing facility's compliance.
(2) The Department shall bill the facility for the expenses of monitoring at the end of the monitoring process. Within fifteen (15) days of receipt of the bill, the facility shall pay the bill or request Administrative Review to contest the costs for which it was billed. Such expenses shall be recoverable through recoupment from future medical assistance payments in the same fashion as a benefits overpayment.
(3) In the event a monitor is already in a facility pursuant to the provisions of O.C.G.A. § 31-7-2.2(b), the Department may not place a monitor in the facility.

Cite as Ga. Comp. R. & Regs. R. 350-3-.06

Authority: Ga. L. 1977, p. 384, et seq.; O.C.G.A. Sec. 49-4-142(a).

History. Original Rule entitled "Imminent Threat" was filed on April 11, 1978; effective May 1, 1978.

Repealed: ER. 350-3-0.3 -.06 adopted. F. Oct. 5, 1989; eff. Sept. 29, 1989, the date of adoption, to remain in effect for 120 days or until adoption of a permanent Rule superseding said Emergency Rule, as specified by the Agency.

Repealed: Permanent Rule entitled "Monitoring" adopted. F. Oct. 4, 1989; eff. Nov. 1, 1989, as specified by the Agency.