Aging and Disability Services Council Sharon Swift Butterworth ...

(1) verify that the individual resides in the catchment area for which the individual's
selected CMA and DSA have a CLASS Program provider agreement;
(2) conduct an initial face-to-face, in-home visit with the individual and LAR or person
actively involved with the individual and during the visit provide an oral and written explanation
of the following to the individual and LAR or person actively involved with the individual:
(A) CLASS Program services;
(B) the mandatory participation requirements of an individual as described in §45.302 of this
chapter (relating to Mandatory Participation Requirements of an Individual);
(C) the CDS option as described in §45.217 of this division (relating to CDS Option);
(D) the right to request a fair hearing in accordance with §45.301 of this chapter (relating to
Individual's Right to a Fair Hearing);
(E) that the individual and LAR or person actively involved with the individual may report an
allegation of abuse, neglect, or exploitation or make a complaint by calling DADS toll-free
telephone number (1-800-458-9858);
(F) the process by which the individual and LAR or person actively involved with the
individual may file a complaint regarding case management as required by §45.707(c)(1) of this
chapter (relating to CMA: Quality Management and Complaint Process);
(G) voter registration, if the individual is 18 years of age or older; and
(H) transition assistance services, if the individual is receiving institutional services; and
(3) obtain the signature of the individual or LAR on a Verification of Freedom of Choice
form designating the choice for the individual of CLASS Program services over enrollment in
the ICF/MR Program.
(b) The CMA must:
(1) within two business days of the case manager's face-to-face, in-home visit required by
subsection (a)(2) of this section:
(A) collect and maintain the information necessary for the CMA and DSA to process the
individual's request for enrollment into the CLASS Program in accordance with the CLASS
Provider Manual; and
(B) provide the individual's selected DSA with the collected information required by
subparagraph (A) of this paragraph;
(2) assist the individual or LAR in completing and submitting an application for Medicaid
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