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Home
and Community Based Services
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| ELIGIBILITY GROUP (ALSO SHOWN AS THE SPECIAL POPULATION) | >>Children under 18 >>Not otherwise eligible for Medicaid |
| LEVEL OF CARE REQUIREMENTS (ALSO KNOWN AS FUNCTINAL ELIGIBILITY RULES) | >>Medically fragile child dependent upon mechanical
ventilators or intravenous administration of nutritional substances
or drugs >>Meet admission and ongoing care criteria for inpatient hospital care |
| ASSESSMENT AND ACCESS (CASE MANAGEMENT) | Private agencies using Advanced Registered Nurse Practitioner, case manager. Assesses social and health needs of child who without provision of wavier services would be hospitalized |
| CHOICE OF CASE MANAGEMENT AGENCIES AVAILABLE | Yes, statewide choice among all qualified agencies is allowed |
| FINANCIAL ELIGIBILITY RULES | Only individuals own income and resources are considered beginning in the first month of HCBS (income over $691 per month must be contributed towards cost of care) plus for individuals under 18, parental income and resources are not counted. |
| NUMBER
OF UNDUPLICATED CONSUMERS PER MONTH |
25 |
| TOTAL FY 98 HCBS WAIVER EXPENDITURES | $121,100 |
| MONTHLY AVERAGE COST PER CONSUMERS FY 98 (WAIVER SERVICES) | $398 |
| MONTHLY AVERAGE COST PER CONSUMER FY 98 (XIX SP SERVICES) | $3,559 (includes case management cost) |
| CONSUMER DIRECTED ATTENDANT OPTION AVAIL | No |
| SERVICES (THOSE LISTED ARE PROVIDED IN ADDITION TO REGULAR TITLE XIX STATE PLAN SERVICES | >>Respite care >>Medical equipment and supplies >>Case management (skilled nursing, home health and therapies are available through Title XIX state plan) |
| QUALITY ASSURANCE | >>Program manager in AMS authorizes and reviews
all plans of care >>Fiscal agent post pay reviews of providers >>Fiscal agent provider and consumer assistance unit to register and follow up on any complaint or grievance |
For additional assistive technology information:
For
more information visit Health Care Policy
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Page last updated January 18, 2002