R9-28-1202. General Provisions

The Administration shall require the ALTCS Case Manager to conduct a PCSP for each ALTCS member in each instance prescribed by 42 CFR § 441.725. 1. The PCSP process is an in-person meeting with the member, the HCDM if applicable, and any other person included in the Planning Team in order to develop a comprehensive PCSP. 2. The PCSP process is used to assess the member’s specific HCBS needs which includes assessment for the ADL or IADLs specific to Direct Care Services and Habilitation Service, utilizing the HNT as set forth in R9-28-1203. 3. The member will be assessed for Direct Care Services and Habilitation Service, if applicable, and if the member resides in their own home, the member or HCDM is interested in receiving HCBS, and the care team determines that HCBS services are appropriate.