11111. INDIVIDUAL-DIRECTED GOODS AND SERVICES: PROVIDER REQUIREMENTS

11111 INDIVIDUAL-DIRECTED GOODS AND SERVICES: PROVIDER REQUIREMENTS 11111.1 Individual-directed goods and services shall be provided only to IFS Waiver participants enrolled as participants in the My Life, My Way program. 11111.2 All individuals and vendors providing individual-directed goods and services shall meet the following minimum qualifications: (a) All individuals providing individual-directed goods and services shall be at least eighteen (18) years of age; (b) All individuals and vendors providing individual-directed goods and services shall be able to demonstrate to the participant that: (1) The individual/vendor has the capacity to perform the requested work; (2) The individual/vendor has the ability to successfully communicate with the participant; and (3) The individual/vendor has all the necessary professional and/or commercial licenses and accreditations required by federal and District law. 11111.3 No individual or vendor shall be reimbursed by Medicaid for any individual-directed good or service that is not: (a) Documented in the participant’s ISP and PDS budget; and (b) Approved by DDS. 11111.4 An individual or vendor selected by a participant to provide individual-directed goods or services on a recurrent basis shall be required to enter into a District of Columbia Medicaid provider agreement prior to providing the goods or services. 11111.5 The VF/EA FMS-Support Broker entity shall verify that an individual or vendor selected by the participant to provide individual-directed goods and services meets all applicable requirements set forth in §1111.2 at the time of enrollment into the VF/EA FMS-Support Broker entity’s provider payment system and thereafter, as necessary. SOURCE: Final Rulemaking published at 70 DCR 008909 (June 23, 2023). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 11111