Aging and Disability Services Council Sharon Swift Butterworth ...

(ii) the IPPs; and
(I) the individual or LAR;
(II) the case manager; and
(III) the DSA;
(iii) the new habilitation plan or any revised habilitation plan; and
(iv) a completed Request for an Exception to Service Limit form as required by §45.219(b) of
this division; and
(B) send a copy of the proposed enrollment IPC to the CDSA, if applicable.[end addition]
(f) At DADS request, the CMA must submit additional documentation supporting the
proposed IPC to DADS within 10 calendar days after DADS request.
[begin deletion] (g) If DADS determines that the proposed renewal IPC or the proposed
revised IPC does not meet the eligibility criterion described in §45.201(a)(5) of this subchapter
(relating to Eligibility Criteria), DADS notifies the individual's CMA and DSA of such
determination and sends written notice to the individual or LAR that the individual's CLASS
Program services are proposed for termination 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] (g) [end addition] [begin deletion] (h) [end deletion] If DADS determines
that the proposed renewal IPC or the proposed revised IPC meets the eligibility criterion
described in §45.201(a)(5) of this subchapter and the CLASS Program services specified in the
IPC meet the requirements described in §45.214(b) of this subchapter, DADS notifies the
individual's CMA, in writing, that the IPC is authorized.
[begin addition] (h) [end addition] [begin deletion] (i) [end deletion] [begin addition] The
process by which an individual's CLASS program services are terminated or a CLASS Program
service is denied, based on DADS review of a proposed renewal IPC or proposed revised IPC, is
described in §45.225(c) - (e) of this division (relating to Utilization Review of an IPC by
DADS). [end addition] [begin deletion] If DADS determines that the proposed renewal IPC or
the proposed revised IPC meets the eligibility criterion described in §45.201(a)(5) of this
subchapter but that one or more of the CLASS Program services specified in the IPC does not
meet the requirements described in §45.214(b) of this subchapter or the requirements described
in Subchapter F (relating to Adaptive Aids and Minor Home Modifications), DADS:]
[(1) denies or proposes reduction of the service(s), as appropriate;]
[(2) modifies and authorizes the IPC; and]
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