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D.C. Municipal Regulations (Last Updated: September 13, 2017) |
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Title 29. PUBLIC WELFARE |
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Chapter 29-42. HOME AND COMMUNITY-BASED WAIVER FOR PERSONS WHO ARE ELDERLY AND INDIVIDUALS WITH PHYSICAL DISABILITIES |
Section 29-4202. APPEAL RIGHTS FOR APPLICANT/BENEFICIARIES
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4202.1Home- and community based waiver services must be provided under a written individualized services plan (ISP) for each recipient based on an assessment of the recipient's health and welfare needs.
4202.2An ISP must be developed for each recipient prior to the initiation and provision of any waiver services and must be pre-authorized by the MAA.
4202.3An ISP shall be a specific plan for delivering services to the waiver recipient.
4202.4An ISP shall be updated and revised quarterly, at a minimum.
4202.5Each ISP for each waiver recipient shall contain, at a minimum:
(a)A statement of goals and objectives for meeting identified needs;
(b)A detailed description of the methods or approaches to be used in addressing identified needs;
(c)An assessment of the recipient's need for follow-up care visits;
(d)The number of units of services;
(e)The frequency and duration of each service;
(f)Documentation that the recipient is Medicaid eligible;
(g)Documentation that the recipient has a nursing facility level of care; and
(h)A signed "Waiver Beneficiary Freedom of Choice Form," provided by the recipient's case manager.