Aging and Disability Services Council Sharon Swift Butterworth ...

[(3) notifies the individual's CMA, in writing, of the action taken.]
[(j) If DADS notifies the CMA of the denial or proposed reduction of a CLASS Program
service and of the IPC modified in accordance with subsection (i) of this section:]
[(1) for a denial of a CLASS Program service, the CMA must: (A) send the individual
or LAR written notice of the denial of the CLASS Program service in accordance with
§45.403(c) of this chapter (relating to Denial of a CLASS Program Service); and (B)
coordinate the implementation of the modified IPC; or]
[(2) for a proposed reduction of a CLASS Program service:]
[(A) the CMA must send the individual or LAR written notice of the proposal to reduce the
CLASS Program service in accordance with §45.405(c) of this chapter (relating to Reduction of
a CLASS Program Service); and]
[(B) the modified IPC is handled as follows:]
[(i) in accordance with §45.405(d) of this chapter, if the individual or LAR requests a fair
hearing before the effective date of the reduction of a CLASS Program service, as specified in
the written notice, the modified IPC may not be implemented; or]
[(ii) if the individual or LAR does not request a fair hearing before the effective date of the
reduction of a CLASS Program service, as specified in the written notice, the CMA must
coordinate the implementation of the modified IPC. [end deletion]
[begin addition] (i) [end addition] [begin deletion] (k) [end deletion] The IPC period of a
revised IPC is the same IPC period as the enrollment IPC or renewal IPC being revised.
§45.225. Utilization Review of an IPC by DADS.
(a) At DADS discretion, DADS conducts a utilization review of an 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
(2) the CLASS Program services specified in the IPC meet the requirements described in
§45.214(b)of this subchapter (relating to Development of Enrollment IPC) [begin addition],
Subchapter F of this chapter (relating to Adaptive Aids and Minor Home Modifications), and
§45.218 of this subchapter (relating to Service Limits) [end addition]
(b) If requested by DADS, a CLASS Program provider must submit documentation
supporting the IPC to DADS within 10 calendar days after DADS request.
(c) If DADS determines that the 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
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