Aging and Disability Services Council Sharon Swift Butterworth ...

(B) ensure the electronically transmitted proposed initial IPC contains information identical to
that on the original proposed initial IPC; [begin addition] and [end deletion]
[begin addition] (2) if the IPC includes a service component that has a service limit
described in §9.192(b) of this chapter (relating to Service Limits) and the service limit is
exceeded:
(A) submit to DADS a completed Request for an Exception to Service Limit form as required
by §9.193(c) of this chapter (relating to Exception to Service Limits); and
(B) keep a copy of the completed form in the individual's record; and
(3) [end addition] [begin deletion] (2) [end deletion] submit other required enrollment
information to DADS.
(o) DADS notifies the applicant or LAR, the selected program provider, the CDSA, if
applicable, and the MRA of its approval or denial of the applicant's enrollment. When the
enrollment is approved, DADS authorizes the applicant's enrollment in the HCS Program
through the automated enrollment and billing system and issues an enrollment letter that includes
the effective date of the applicant's enrollment in the HCS Program.
(p) Prior to the individual's service begin date, the MRA must provide to the selected program
provider and CDSA, if applicable, copies of all enrollment documentation and associated
supporting documentation, including relevant assessment results and recommendations, the
completed MR/RC Assessment, the proposed initial IPC, and the applicant's PDP.
(q) The selected program provider must not initiate services until notified of DADS' approval
of the applicant's enrollment.
(r) The selected program provider must develop an implementation plan for HCS Program
services that is based on the individual's PDP and authorized IPC.
(s) The MRA must retain in the applicant's record:
(1) the Verification of Freedom of Choice, Waiver Program form documenting the
applicant's or LAR's choice of services;
(2) the Documentation of Provider Choice form documenting the applicant's or LAR's
choice of a program provider, if applicable;
(3) the Deadline Notification form; and
(4) any other correspondence related to the offer of a program vacancy.
(t) Copies of the following forms and letters referenced in this section are available by
contacting the Department of Aging and Disability Services, Provider Services Division, P.O.
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