DDRS Waiver Manual

Each time an emergency response is generated, an incident report must be submitted to the State
per the DDRS/BDDS and DDRS/BQIS procedures.
At least every 90 calendar days, the appropriateness of continued use of the monitoring system must
be reviewed by the IST; the results of these reviews must be documented in the DDRS Case
Management system and/or the ISP. Areas to be reviewed include but are not limited to the number
and nature of responses to the home as well as damage to the equipment.
As applicable, monthly/quarterly reports must be uploaded to Advocare by the chosen service provider on or
before the fifteenth day of the following month
Limitations and Reimbursement Parameters
The following limitations apply to Electronic Monitoring services:
The budget will be completed for each participant based upon the total number of participants
residing within the residence. However, lower Tiers may also appear on the service plans to reflect
reimbursement rates for situations where one or more participant is away from the home during
service utilization.
Reimbursement will then be the hourly rate of $13.62 divided by and among the number of
participants who are at home during the hours of utilization. If only one participant from a fourparticipant
setting is at home during service utilization, the solitary participant pays the full hourly
rate of $13.62. If only two of the four participants are home, each pays $6.81 per hour of utilization,
and if three of the four are home, each pays $4.54 per hour of utilization.
Table 4 – Reimbursement Rates by Tier
Tier Number of Participants Reimbursement
Tier 1 One participant in a home $13.62
Tier 2
Two participants in a $6.81
home
Tier 3
Three participants in a $4.54
home
Tier 4
Four participants in a
home
$3.41
Billing clarification: When all service standards are met, the service provider shall be reimbursed at the full
unit rate for each hour that the Electronic Monitoring service is rendered. The unit rate for each hour of
Electronic Monitoring service utilization shall be divided by and among the number of waiver participants
present in the home during any portion of the hour for which reimbursement is requested. All participants
present must be CIHW participants who have chosen to utilize this service.
Activities Not Allowed
The following activities are not allowed under Electronic Monitoring:
Electronic monitoring and surveillance systems that have not received specific approval by the DDRS.
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