Aging and Disability Services Council Sharon Swift Butterworth ...

(1) assign a registered nurse to perform the following functions within 14 calendar days
after information is provided to the DSA by the CMA as required by subsection (b)(1)(B) of this
section:
(A) conduct an initial face-to-face, in-home visit with the individual and LAR or person
actively involved with the individual;
(B) perform nursing and adaptive behavior assessments of the individual; and
(C) complete the Mental Retardation/Related Conditions (MR/RC) Assessment in accordance
with the CLASS Provider Manual; and
(2) within 14 calendar days after information is provided to the DSA by the CMA as
required by subsection (b)(1)(B) of this section, inform the individual and LAR or person
actively involved with the individual, orally and in writing, of the process by which they may file
a complaint regarding CLASS Program services provided by the DSA as required by §45.808(1)
of this chapter (relating to DSA: Complaint Process).
(h) A DSA must ensure that:
(1) the diagnosis of the individual's condition documented on the MR/RC Assessment is
authorized by a physician; and
(2) the completed MR/RC assessment is submitted to DADS for a decision regarding the
individual's diagnostic eligibility.
(i) DADS reviews the completed MR/RC Assessment in accordance with §45.213 of this
division (relating to Determination of Diagnostic Eligibility by DADS).
(j) If a DSA receives written notice from DADS that diagnostic eligibility is approved for an
individual, as described in §45.213(d), the DSA must notify the individual's CMA of DADS
decision within one business day after receiving the notice from DADS.
(k) If DADS denies diagnostic eligibility, DADS sends written notice to the individual or
LAR of the denial of the individual's request for enrollment into the CLASS Program in
accordance with §45.402(b) of this chapter (relating to Denial of a Request for Enrollment into
the CLASS Program).
(l) If the CMA receives notice from the DSA that DADS approves diagnostic eligibility, the
CMA must ensure that a proposed enrollment IPC, habilitation plan, and IPPs for the individual
are developed and submitted to DADS for review in accordance with §45.214 of this division
(relating to Development of Enrollment IPC).
(m) DADS reviews a proposed enrollment IPC in accordance with §45.216 of this division
(relating to DADS review of an Enrollment IPC) to determine if:
- 28 -