Rules & Regulations of the State of Tennessee Title 0465 - Intellectual and Developmental Disabilities
Rules & Regulations of the State of Tennessee, Title 0465, is dedicated to the Department of Intellectual and Developmental Disabilities (DIDD). These regulations are comprehensive, providing the framework for the licensing, oversight, and provision of services to individuals with intellectual and developmental disabilities in Tennessee.
The primary mission of DIDD, as reflected in these regulations, is to ensure that individuals with intellectual and developmental disabilities have opportunities to live independent, productive, and integrated lives within their communities, with access to appropriate services and supports.
Here's a breakdown of the key subtitles and chapters within Title 0465:
Subtitle 0465-01 - General Rules:
Chapter 0465-01-01 - Statewide Admission Review Committee Rules: This chapter likely outlines the procedures and criteria for a committee responsible for reviewing admissions to state-operated or state-funded facilities and services for individuals with intellectual and developmental disabilities. This ensures appropriate placement and service access.
Chapter 0465-01-02 - Methodology Utilized to Determine Payments to Service Providers (Rate Structure): This crucial chapter details how DIDD determines and calculates the rates paid to various service providers (e.g., residential facilities, day services, personal support agencies). This ensures fair compensation for services and transparency in funding.
Chapter 0465-01-03 - Administration of Medication by Unlicensed Personnel: This chapter sets forth the specific rules, training requirements, and protocols for the administration of medication by individuals who are not licensed medical professionals but are working in settings that serve individuals with intellectual and developmental disabilities. This is vital for safety and proper care.
Chapter 0465-01-04 - Public Records: This chapter establishes the rules and procedures for public access to records maintained by DIDD, in accordance with Tennessee's public records laws.
Subtitle 0465-02 - Intellectual and Developmental Disabilities, Department of (Office of Licensure): This is a very substantial subtitle, primarily focusing on the licensing and minimum program requirements for a wide array of facilities and services for individuals with I/DD. The Office of Licensure within DIDD is responsible for enforcing these rules.
Chapter 0465-02-01 - Definitions: Provides a comprehensive list of terms and definitions specific to the various services and facilities covered in this subtitle.
Chapter 0465-02-02 - Licensure Administration and Procedures: Details the general procedures for obtaining, renewing, denying, suspending, or revoking licenses for I/DD service providers. This includes application processes, fees, inspections, and administrative appeals.
Chapter 0465-02-03 - Application of Rules for Distinct Service Categories: Explains how the general rules apply to the different types of services provided.
Chapter 0465-02-04 - Life Safety Licensure Rules: Focuses on essential fire safety, emergency preparedness, and building code compliance for facilities.
Chapter 0465-02-05 - Adequacy of Environment and Services: General standards for ensuring a safe, healthy, and appropriate environment and sufficient services for individuals in licensed settings.
Chapter 0465-02-06 - Minimum Program Requirements for All Facilities/Services: Overarching minimum standards that apply to all types of licensed I/DD facilities and services.
Chapters 0465-02-07 through 0465-02-20: These chapters delve into the specific minimum program requirements for distinct categories of I/DD facilities and services. This is where the highly detailed rules for each type of support are found. Examples include:
Adult Habilitation Day Facilities/Services (for Intellectual Disabilities and Developmental Disabilities)
Diagnosis and Evaluation Facilities
Institutional Habilitation Facilities (e.g., for state-operated developmental centers)
Residential Habilitation Facilities/Services (various types of group homes, supported living)
Boarding Home Facilities
Placement Services
Respite Care Services
Semi-Independent Living Services
Personal Support Services Agencies
Supported Living Services
Support Coordination Agencies (often referred to as case management)
Developmental Disabilities Preschool Facilities/Services
Each of these specific chapters would cover aspects like: * Staff qualifications, training, and background checks. * Individual Support Plan (ISP) development and implementation, ensuring person-centered planning. * Health care oversight and medication management. * Behavioral support and intervention standards. * Resident rights, abuse prevention, and reporting requirements. * Environmental standards and physical plant requirements. * Record-keeping and documentation. * Admission and discharge procedures.
Subtitle 0465-03 - Office of Administrative Appeals:
This subtitle sets forth the rules and procedures for individuals, providers, or other parties to appeal decisions made by the Department of Intellectual and Developmental Disabilities. This ensures due process and allows for a review of administrative actions.
Subtitle 0465-04 - Tennessee Early Intervention System (TEIS):
Chapter 0465-04-01 - Tennessee's Early Intervention System: This chapter outlines the regulations for TEIS, which provides services for infants and toddlers (birth to age three) with developmental delays or disabilities. This includes eligibility criteria, assessment processes, development of Individualized Family Service Plans (IFSPs), and types of services offered. This chapter was transferred from another Title (0520-01-10), indicating its continued importance within DIDD's purview.
Overall Purpose and Impact of Title 0465:
Title 0465 provides the essential regulatory framework for DIDD to:
Protect Rights and Safety: Ensure the health, safety, and well-being of individuals with I/DD, particularly those receiving services in licensed facilities.
Ensure Quality of Services: Set minimum standards for various service providers, promoting quality care and effective support.
Promote Community Integration: Facilitate access to services that support individuals in living and participating in their communities.
Ensure Accountability: Provide clear guidelines for providers, administrative processes, and appeal mechanisms.
Support Families: Through programs like TEIS and family support services, the regulations aim to empower families caring for individuals with I/DD.
In essence, Title 0465 is the comprehensive legal and operational guide for the Tennessee Department of Intellectual and Developmental Disabilities in its vital role of supporting and regulating services for one of the state's most vulnerable populations.
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