Aging and Disability Services Council Sharon Swift Butterworth ...

September 1, 2013. The proposed amendment also adds the service limit on dental services that
will be in effect as of September 1, 2013
Proposed new §48.6085, concerning exception to service limits, describes the exception process
by which DADS may allow an individual to receive services in excess of the service limits
described in §48.6084(a). The amendment also describes the limits that an exception may not
exceed.
The proposed amendment to §48.6090 updates terminology to be consistent with current DADS
usage, removes a discussion of administrative errors that result in DADS recouping a requisition
fee, and removes other references to documentation supporting a requisition fee.
The proposed amendment to §48.6092 eliminates the requirement that a registered nurse provide
training to an attendant and changes the content of the training provided before services are
initiated.
The proposed amendment to §48.6098 updates terminology to be consistent with current DADS
usage, including substituting "termination" for "denial" to clarify the action taken by DADS in
response to the circumstances described in the section. The amendment also clarifies that if an
individual submits a timely request for a fair hearing to appeal the termination of CBA services,
the CBA provider must continue to provide CBA services at the current authorized level while
the appeal is pending.
The proposed amendment to §48.6100 updates terminology to be consistent with current DADS
usage, including substituting "termination" for "denial" to clarify the action taken by DADS in
response to the circumstances described in the section. The amendment also clarifies that a CBA
provider is not required to continue to provide CBA services to the individual after the effective
date of DADS notice of termination.
The proposed amendment to §48.6102 updates terminology to be consistent with current DADS
usage, including substituting "termination" for "denial" to clarify the action taken by DADS in
response to the circumstances described in the section. The amendment also clarifies that if an
individual submits a timely request for a fair hearing to contest the termination of CBA services,
the CBA provider must continue to provide CBA services at the current authorized level while
the appeal is pending.
The proposed amendment to §48.6104 updates terminology to be consistent with current DADS
usage and to clarify the action taken by DADS in response to the circumstances described in the
section. The amendment also clarifies that a CBA provider is not required to continue to provide
CBA services to the individual after the effective date of DADS notice of termination that may
result if the issues are not resolved.
Proposed new §48.6109 describes the circumstances permitting DADS to deny an individual’s
request for a CBA service, provides that an individual may request a fair hearing to contest the
denial of the CBA service, and provides that a CBA provider is not required to provide the
service while the appeal is pending.
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