Aging and Disability Services Council Sharon Swift Butterworth ...

§48.6084. Service [begin addition] Limits and Claim Limits.
(a) [begin addition] Service limits.
(1) The limits to an individual's services listed in paragraph (2) of this section are in effect
through August 31, 2013.
(2) Subject to an exception granted by DADS in accordance with §48.6085 of this
subchapter (relating to Exception to Service Limit), the following limits apply to an individual's
services:
(A) An individual may receive, during an ISP year, adaptive aids having a maximum cost of
$2,050.
(B) An individual may receive, during an ISP year, general dentistry services and the services
of an oral and maxillofacial surgeon having a maximum combined cost of $4,675.
(C) An individual may receive, during an ISP year, medical supplies having a maximum cost
of $1,736.
(D) During the time period an individual is enrolled in the CBA Program, an individual may
receive minor home modifications that have a maximum cost of $6,550, which may be paid in
one or more ISP years.
(E) An individual may receive a maximum of 24 days of respite during an ISP year.
(F) The maximum number of hours of a specialized therapy that an individual may receive
during an ISP year is as follows:
(i) for occupational therapy, 61 hours;
(ii) for physical therapy, 86 hours; and
(iii) for speech, hearing, and language therapy, 69 hours.
(G) An individual may receive a maximum of 2,135 hours of PAS during an ISP year.
(3) Not subject to an exception granted by DADS, an individual may receive, during an
ISP year, a maximum of $300 for repair and maintenance of a minor home modification.
(4) In accordance with §62.5(c) and (d) of this title (relating to Service Description), an
individual may receive a maximum of $2,500 of transition assistance services.
(5) Effective September 1, 2013, the following limits apply to an individual:
(A) For adaptive aids and medical supplies, minor home modifications, and respite during an
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