Section 460IAC13-5-1. Algo levels

   The algo levels are as follows:

(1) Algo level zero (0):

(A) high level of independence with few supports needed;

(B) no significant behavioral issues; and

(C) requires minimal residential habilitation services.

(2) Algo level one (1):

(A) moderately high level of independence with few supports needed;

(B) behavioral needs, if any, can be met with medication or informal director by caregivers through the Medicaid state plan services; and

(C) likely a need for day programming and light residential habilitation services to assist with certain tasks, but the individual can be unsupervised for much of the day and night.

(3) Algo level two (2):

(A) moderate level of independence with frequent supports needed;

(B) behavioral needs, if any, can be met with medication or light therapy, or both, every one (1) to two (2) weeks;

(C) does not require twenty-four (24) hours a day supervision; and

(D) generally able to sleep unsupervised, but needs structure and routine throughout the day.

(4) Algo level three (3):

(A) requires access to full-time supervision for medical or behavioral, or both, needs;

(B) twenty-four (24) hours a day, seven (7) days a week staff availability;

(C) behavioral and medical supports are not generally intense; and

(D) behavioral and medical supports can be provided in a shared staff setting.

(5) Algo level four (4):

(A) requires access to full-time supervision for medical or behavioral, or both, needs:

(i) twenty-four (24) hours a day, seven (7) days a week frequent staff interaction; and

(ii) requires line of sight support; and

(B) has moderately intense needs that can generally be provided in a shared staff setting.

(6) Algo level five (5):

(A) requires access to full-time supervision with twenty-four (24) hours a day, seven (7) days a week absolute line of sight support;

(B) needs are intense;

(C) needs require the full attention of a caregiver with a one-to-one staff to individual ratio; and

(D) typically only needed by those with intense behavioral needs, not medical needs alone.

(7) Algo level six (6):

(A) requires access to full-time supervision:

(i) twenty-four (24) hours a day, seven (7) days a week; and

(ii) more than a one-to-one staff to individual ratio;

(B) needs are exceptional;

(C) needs require more than one (1) caregiver exclusively devoted to the individual for at least part of each day; and

(D) imminent risk of individual harming self or others, or both, without vigilant supervision.

(Division of Disability and Rehabilitative Services; 460 IAC 13-5-1; filed Apr 22, 2013, 9:48 a.m.: 20130522-IR-460120463FRA)