Aging and Disability Services Council Sharon Swift Butterworth ...

(ii) the IPPs; [and]
(iii) the habilitation plan; and
[begin addition] (iv) if the IPC includes a service described in §45.218(b) of this division in
an amount that exceeds the service limit for that service, a completed Request for an Exception
to Service Limit form as required by §45.219(b) of this division; and [end addition]
(B) send a copy of the proposed enrollment IPC to the CDSA, if applicable.
(d) If the individual or LAR requests a CLASS Program service that the case manager or DSA
has determined does not meet the criteria described in subsection (b) of this section, [or] the
requirements described in Subchapter F of this chapter (relating to Adaptive Aids and Minor
Home Modifications) [begin addition], or, for transition assistance services, exceeds the service
limit described in §45.218(c) of this division [end addition] the CMA must [begin addition]
comply with this subsection. [end addition] [:]
(1) [begin addition] The CMA must, [end addition] in accordance with CLASS Provider
Manual, send the individual or LAR written notice of the denial of the requested CLASS
Program service, copying the DSA and CDSA [begin addition], if the individual or LAR requests
a CLASS Program service that the CMA or DSA has determined:
(A) does not met the criteria described in subsection (b) of this section;
(B) does not meet the requirements described in Subchapter F of this chapter (relating to
Adaptive Aids and Minor Home Modifications); or
(C) if the service is transition assistance services, exceeds the service limit described in
§45.218(c) of this division.
(2) If the CMA is required to send written notice of denial of a CLASS Program service as
described in paragraph (1) of this subsection, the CMA must also: [end addition]
[begin addition] (A) [end addition] [begin deletion] (2) [end deletion] no later than 30
calendar days before the effective date of the proposed IPC as determined by the service
planning team, submit to DADS for its review:
[begin addition] (i) [end addition] [begin deletion] (A) [end deletion] the proposed
enrollment IPC that includes the type and amount of CLASS Program services in dispute and not
in dispute and is signed and dated by:
or LAR;
manager; and
[begin addition] (I) [end addition] [begin deletion] (i) [end deletion] the individual
[begin addition] (II) [end addition] [begin deletion] (ii) [end deletion] the case
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