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DDRS Waiver Manual

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Services must address needs identified in the person-centered planning process and be outlined in<br />

the ISP.<br />

Services must complement other services the individual receives and enhance increasing<br />

independence for the individual.<br />

Documentation Standards<br />

Psychological Therapy services documentation must include<br />

<br />

<br />

<br />

<br />

Documentation by appropriate assessment<br />

Services outlined in the ISP<br />

Appropriate credentials for service provider<br />

Attendance record, therapist logs, and/or charts detailing services provided, dates, and times<br />

Documentation in compliance with 460 IAC 6 Supported Living Services and Supports requirements<br />

Documentation of this service being requested on Medicaid State Plan shall be included in the ISP<br />

As applicable, monthly/quarterly reports must be uploaded to Advocare by the chosen service provider on or<br />

before the fifteenth day of the following month<br />

Limitations<br />

The following limitations apply to Psychological Therapy services:<br />

One hour of billed therapy service must include a minimum of 45 minutes of direct patient care with<br />

the balance of the hour spent in related patient services.<br />

Activities Not Allowed<br />

The following activities are not allowed under Psychological Therapy services:<br />

<br />

<br />

<br />

Activities delivered in a nursing facility.<br />

Services that are available through the Medicaid State Plan (a Medicaid State Plan prior<br />

authorization denial is required before reimbursement is available through the Medicaid waiver for<br />

this service).<br />

Therapy services furnished to the participant within the educational/school setting or as a<br />

component of the participant’s school day.<br />

Additional Information<br />

Therapies provided through this service will not duplicate therapies provided under any other service.<br />

Available under the Family Supports <strong>Waiver</strong> and the Community Integration and Habilitation <strong>Waiver</strong>.<br />

Section 10.24: Recreational Therapy<br />

Service Definition<br />

Recreational Therapy services are services provided under this article and consisting of a medically approved<br />

135

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