Aging and Disability Services Council Sharon Swift Butterworth ...

(relating to Renewal and Revision of an IPC).
§45.216. DADS Review of an Enrollment IPC.
(a) DADS reviews a proposed enrollment IPC, habilitation plan, [begin deletion] and [end
deletion] IPPs [begin addition], and if the individual or LAR requests a service described in
§45.218(b) of this division (relating to Service Limits) in an amount that exceeds the service
limit for that service, a completed Request for an Exception to Service Limit form [end addition]
submitted by a CMA in accordance with §45.214 [begin addition] (d) [end addition] of this
division (relating to Development of Enrollment IPC) to determine if:
(1) the IPC meets the eligibility criterion described in §45.201(a)(5) of this subchapter
(relating to Eligibility Criteria) and the requirements in §45.214(a)(1)(B) of this division; [and]
(2) the CLASS Program services specified in the IPC meet the requirements described in
§45.214(b) of this division [begin addition]; and [end addition] [.]
[begin addition] (3) for a completed Request for an Exception to Service Limit form,
whether providing the service in excess of the service limit is necessary to meet the criteria
described in §45.214(b) of this division. [end addition]
(b) At DADS request, the CMA must submit additional documentation supporting the
proposed enrollment IPC to DADS within 10 calendar days after DADS request.
[begin deletion] (c) If DADS determines that the proposed enrollment IPC does not meet the
eligibility criterion described in §45.201(a)(5) of this subchapter, DADS notifies the individual's
CMA and DSA of such determination and sends written notice to the individual or LAR that the
individual's request for enrollment is denied and includes in the notice the individual's right to
request a fair hearing in accordance with §45.301 of this chapter (relating to Individual's Right to
a Fair Hearing). [end deletion]
[begin addition] (c) [end addition] [begin deletion] (d) [end deletion] If DADS determines that
the proposed enrollment IPC meets the eligibility criterion described in §45.201(a)(5) of this
subchapter and the requirements in §45.214(a)(1)(B) of this division and the CLASS Program
services specified in the IPC meet the requirements described in §45.214(b) of this division,
[begin addition] Subchapter F of this chapter (relating to Adaptive Aids and Minor Home
Modifications), and §45.218 of this division [end addition] DADS notifies the individual's CMA,
in writing, that the IPC is authorized and the individual's request for enrollment is approved.
[begin addition] (d) If DADS determines that the proposed enrollment IPC does not meet the
eligibility criterion described in §45.201(a)(5) of this subchapter, DADS notifies the individual's
CMA and DSA of such determination and sends written notice to the individual or LAR that the
individual's request for enrollment is denied and includes in the notice the individual's right to
request a fair hearing in accordance with §45.301 of this chapter (relating to Individual's Right to
a Fair Hearing).
- 34 -