Regulation .06 Requests For and Approval of Supplemental Services.
Regulation .06 Requests For and Approval of Supplemental Services.LinkCopy Citation
A.
In order for the Administration to reimburse a licensee for supplemental services, the Administration shall preauthorize the service and approve the cost.
B.
To be approved for reimbursement of supplemental services, except housing, the licensee shall:
(1)
Submit a written request to the Administration justifying the request, including:
(a)
Recommendations from the individual's team,
(b)
Documentation from appropriate professionals, and
(c)
Other documentation the Administration requires; and
(2)
Justify the basis of the proposed costs and submit supporting documentation, such as:
(a)
Bids from vendors,
(b)
Advertisements for the item, and
(c)
Rates of a proposed vendor.
C.
To be approved for reimbursement of supplemental housing costs, the licensee shall submit a written request to the Administration documenting:
(1)
The individual's income and expenses;
(2)
The housing costs; and
(3)
Efforts to obtain other State or federal assistance with housing costs.
D.
In deciding whether to authorize supplemental services, the Administration shall:
(1)
Consider the documentation submitted by the provider in this regulation;
(2)
Consider the proposed cost for the service;
(3)
If appropriate, visit the individual in the setting where the continuous supplemental services are to be provided; and
(4)
Review the licensee's efforts to meet the individual's needs within existing resources.