To be considered for reimbursement under parts 9525.1800 to 9525.1930, county boards, singly or jointly, must submit to the commissioner an annual proposal for the provision of home and community-based services to persons for which the county board or county boards are financially responsible. The commissioner shall notify the county boards of the deadlines and forms for the submission of proposals for home and community-based services.
The proposal must be based on the needs of individually identified persons in the county and must identify the number of persons to whom the county board expects to provide the home and community-based services and identify, by name, recipients authorized and receiving services, individuals screened and authorized but not yet receiving services, and individuals for whom the county has received a request to receive waivered services but has not yet screened. If county boards are applying jointly, each county board must identify the number of persons for which the county is financially responsible.
The commissioner shall review the county community social services administration (CSSA) plan, the determination of need, and the redetermination of need for services for persons with developmental disabilities and may consider the county goals and objectives as part of the county proposal. The commissioner may also require the county boards to include the following information in the proposal:
current living arrangements;
current day programs;
level of supervision required;
the type of home and community-based services projected to be needed and the expected duration of the service or services;
the projected starting dates of the home and community-based services;
the proposed service provider or providers and billing rate or rates, if known;
a description of how the proposal limits the development of new community-based ICF/DD beds and reduces the county's use of existing ICF/DD beds in regional treatment centers and community ICFs/DD, including any steps the county board has taken to encourage voluntary decertification of community-based ICF/DD beds; and
a description of the steps the county board has taken to prepare to provide home and community-based services, including efforts to integrate home and community-based services into the county board's administrative services planning system.
The commissioner shall review all proposals submitted according to subparts 1 and 2. The commissioner shall only approve the county proposals that meet the requirements of parts 9525.1800 to 9525.1880 and that demonstrate compliance with the goals of the department as stated in items A to C:
reduction of the number of children in regional treatment centers;
limitation of the development of new community-based ICF/DD beds and reduction of the use of existing ICF/DD beds located on regional treatment center campuses and in the community; and
integration of home and community-based services into the county board's administrative services planning system.
If the proposal is disapproved, the commissioner shall notify the county board, in writing, of the reasons why the proposal was not approved. The county board has seven days after receipt of the written notice in which to revise the proposal and resubmit it to the commissioner.
10 SR 838; 16 SR 2238; L 2005 c 56 s 2
October 16, 2013