Okla. Stat. tit. 10, § 10-1414.1

procedures.

A. In addition to the admissions requirements of Section 1414

of this title, the Greer Center Facility located on the grounds of

the Northern Oklahoma Resource Center of Enid in Enid, Oklahoma,

shall be established as a separate entity from the Northern Oklahoma

Resource Center of Enid and further shall provide for the admission

of persons who have been dually diagnosed as follows:

1. Primary diagnosis of an intellectual disability by a

psychologist, physician or psychiatrist. The diagnosis shall be in

accordance with any statutory requirements and shall include

intellectual evaluation, adaptive behavior evaluation, and evidence

that the disability occurred within the developmental period.

Oklahoma Statutes - Title 10. Children Page 216

Preference shall be given for those individuals whose disability

level falls within the mild and moderate ranges; and

2. Secondarily, clinical evidence of behavioral or emotional

problems pursuant to a formal, written evaluation by a psychologist,

psychiatrist or physician describing the nature of the problem, the

frequency of occurrence of the problem, any prior treatment efforts

and reasons why the applicant cannot receive appropriate treatment

in the applicant's current environment and a secondary diagnosis of

mental illness in accordance with the Diagnostic and Statistical

Manual of Mental Disorders, as revised and published by the American

Psychiatric Association.

B. A person shall not be considered for voluntary admission

into the Greer Center Facility unless it can be clinically

demonstrated that the behavior of the person does not pose an

unreasonable risk of injury, death or sexual assault to others or an

unreasonable risk of injury or death to self. Persons considered

for admission shall not be considered by a psychologist,

psychiatrist, or physician as homicidal or suicidal and shall not

have exhibited homicidal or suicidal tendencies for six (6) months

prior to application for admission.

C. An applicant who requires skilled nursing care shall not be

admitted to the Greer Center Facility. Applicants having a medical

condition which is degenerative in nature that will require skilled

nursing shall be considered on a case-by-case basis to ensure that

sufficient staff is available to ensure quality of care. If an

applicant has any existing medical or surgical condition that is

correctable, the condition shall be remedied by the referring

facility before admission to the Greer Center Facility is

considered.

D. Any person seeking admission to the Greer Center Facility

for treatment who qualifies under subsection A of this section,

subject to the availability of space, shall be admitted. All

persons admitted to the Greer Center Facility shall submit to the

director of the Greer Center Facility a referral packet that

contains at a minimum, the following information or records:

1. Results of a current physical exam;

2. Recent physician orders and progress notes for up to one (1)

year, if available;

3. Recent nursing notes for up to one (1) year, if available;

4. Fact sheet (medical records);

5. Legal papers, including, but not limited to, birth

certificate, marriage certificate and guardianship;

6. Social history, with a recent social evaluation or update

within one (1) year;

7. Psychological exam administered or updated within ninety
gress notes for up to one (1)

year, if available;

3. Recent nursing notes for up to one (1) year, if available;

4. Fact sheet (medical records);

5. Legal papers, including, but not limited to, birth

certificate, marriage certificate and guardianship;

6. Social history, with a recent social evaluation or update

within one (1) year;

7. Psychological exam administered or updated within ninety

(90) days of referral;

8. Dental records;

Oklahoma Statutes - Title 10. Children Page 217

9. Immunization record;

10. Multidisciplinary progress notes for up to one (1) year, if

available;

11. Medical and medication history; and

12. Individual Habilitation Plan or Care Plan, if available.

E. The Greer Center Admissions Committee shall consist of a

representative from the Greer Center Facility, and other

representatives selected by the Director of the Department of Human

Services. The Committee shall make decisions regarding admissions

to the programs of the Greer Center Facility. The Committee may

request additional information concerning an applicant from the

referring agency or participation by referring agency personnel as

necessary.

F. Persons entering the Greer Center Facility shall receive a

comprehensive evaluation of their intellectual functioning, adaptive

behavior skills, and mental health status, and shall receive a

continuous active treatment program, which includes aggressive,

consistent implementation of a program of specialized and generic

training, treatment, health services and related services. The

evaluation and assessment shall be completed within thirty (30) days

of admission to the Greer Center Facility.

G. After the evaluation and assessment by the Greer Center

Facility, staff shall present the referral packet of the individual

and their findings to the Greer Center Admissions Committee with a

recommendation for continued admission or alternate treatment.

1. The Greer Center Admissions Committee shall:

a. make decisions regarding continued admission, and

b. notify the Department of Human Services, and the

referring agency in writing, stating specifically the

decisions of the Committee regarding admission,

including specific reasons for denial of admission.

2. If admission of an applicant is not continued at the Greer

Center Facility after undergoing the evaluation process, the

referring agency shall reimburse the Department of Human Services

for the number of bed days used at the Medicaid rate for that unit.

If admission of an applicant is continued, the applicant shall be

certified for Medicaid reimbursement from the initial date of

admission.

H. Individuals who have been admitted and served by the Greer

Center Facility shall be eligible for readmission services on the

same basis as an individual initially seeking services.

I. In addition to other discharge procedures and requirements

provided by law, the interdisciplinary team of the Greer Center

Facility shall have recommended discharge based upon a determination

that the mental or physical condition of the individual prevents the

individual from receiving appropriate services at the Greer Center

Facility or that the individual has made progress in behavioral and

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emotional habilitation goals such that the individual no longer

requires the specialized resources at the Greer Center Facility, and

may function in a less restrictive setting.

J. A referral to discharge is made to the Greer Center

Discharge Committee, and the final decision to discharge is made by

the Greer Center Discharge Committee.

K. The Greer Center Discharge Committee shall:

1. Consist of a representative from the Greer Center Facility

and representatives selected by the Director of the Department of

Human Services; and

2. Review the discharge referral and related materials to

ensure that the individual can safely reside in a less restrictive

setting with appropriate supports.
the Greer Center Discharge Committee.

K. The Greer Center Discharge Committee shall:

1. Consist of a representative from the Greer Center Facility

and representatives selected by the Director of the Department of

Human Services; and

2. Review the discharge referral and related materials to

ensure that the individual can safely reside in a less restrictive

setting with appropriate supports.

L. The Director of Human Services is authorized and hereby

directed to promulgate and amend rules necessary to implement the

provisions of this section.