30.01.2013 Views

Aging and Disability Services Council Sharon Swift Butterworth ...

Aging and Disability Services Council Sharon Swift Butterworth ...

Aging and Disability Services Council Sharon Swift Butterworth ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

(E) for physical therapy, 30 hours;<br />

(F) for social work, ten hours; <strong>and</strong><br />

(G) for speech <strong>and</strong> language pathology, 49 hours.<br />

(3) An individual may receive a maximum of 126 hours of supported employment during<br />

an IPC year.<br />

(4) The maximum number of hours of supported home living that an individual may<br />

receive during an IPC year is as follows:<br />

(A) for an individual with an LON 1: 923 hours;<br />

(B) for an individual with an LON 5: 1,337 hours;<br />

(C) for an individual with an LON 8: 1,868 hours;<br />

(D) for an individual with an LON 6: 2,098 hours; <strong>and</strong><br />

(E) for an individual with an LON 9: 3,546 hours.<br />

(c) The following limits apply to an individual's services <strong>and</strong> are not subject to an exception<br />

granted by DADS in accordance with §9.193 of this subchapter.<br />

(1) An individual may receive dental treatment having a maximum cost of $1,000 during<br />

an IPC year. The program provider may request, in accordance with the HCS Program Billing<br />

Guidelines, authorization of a requisition fee that is in addition to the $1,000 service limit.<br />

(2) During the time an individual is enrolled in the HCS Program, an individual may<br />

receive minor home modifications that have a maximum cost of $7,500, which may be paid in<br />

one or more IPC years.<br />

(A) The program provider may request, in accordance with the HCS Program Billing<br />

Guidelines, authorization of a requisition fee that is in addition to the service limit.<br />

(B) After reaching the maximum cost of $7,500, an individual may receive, during an IPC<br />

year, a maximum of $300 for repair <strong>and</strong> maintenance.<br />

(3) An individual may receive a maximum of 300 hours of respite during an IPC year.<br />

(d) Effective September 1, 2013, the following service limits apply to the individual:<br />

(1) for adaptive aids, $10,000 during an IPC year;<br />

(2) for dental treatment, $1,000 during an IPC year;<br />

- 15 -

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!