Aging and Disability Services Council Sharon Swift Butterworth ...

program provider to, when an IPC includes a service component for which a service limit
described in new §9.192(b) is exceeded, request an exception to the service limit in accordance
with proposed new §9.193.
The proposed amendment to §9.166(a)(3) requires that an individual's service planning team and
the program provider develop a proposed renewal IPC in accordance with §9.159(c). The
proposed amendment also restructures §9.166(e)(2) and adds a new subparagraph (D) requiring a
program provider to, if a proposed renewal or revised IPC includes a service component for
which a service limit described in new §9.192(b) is exceeded, submit a completed Request for
Exception to Service Limit to DADS and keep a copy of the completed form in the individual's
record.
Proposed new §9.192 establishes service limits (the maximum amount of services an individual
in the HCS Program may receive without being granted an exception), effective through August
31, 2013, for the following HCS Program services: adaptive aids, audiology, behavioral support,
dietary services, occupational therapy services, physical therapy, social work, speech and
language pathology, supported employment, and supported home living. The proposed new
section also states the current service limit for dental treatment, minor home modifications, and
respite and that these services are not subject to an exception granted by DADS. Further the
proposed new section lists the service limits that are effective September 1, 2013, for adaptive
aids, dental treatment, minor home modifications, respite, and supported employment.
Proposed new §9.193, describes the exception process by which a service coordinator or
program provider requests that DADS allow an individual to receive services in excess of the
service limits described in new §9.192(b). The proposed new section also provides that the
current limits for adaptive aids and supported employment remain in place even if DADS grants
an exception to the new, lower service limits.
FISCAL NOTE
Gordon Taylor, DADS Chief Financial Officer, has determined that, for the first five years the
proposed amendments and new sections are in effect, there are foreseeable implications relating
to costs or revenues of state government. There are no foreseeable implications relating to costs
or revenues of local governments.
The effect on state government for the first five years the proposed amendments and new
sections are in effect is an estimated reduction in costs of $1,349,913 in fiscal year (FY) 2012;
$1,878,632 in FY 2013; $0.00 in FY 2014; $0.00 in FY 2015; and $0.00 in FY 2016.
SMALL BUSINESS AND MICRO-BUSINESS IMPACT ANALYSIS
DADS has determined that the proposed amendments and new sections will not have an adverse
economic effect on small businesses or micro-businesses, because any new requirements
imposed by these rules do not require program providers to incur a cost.
PUBLIC BENEFIT AND COSTS
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