IDAPA 16.03.13.120

Participant Responsibilities

Last amended: 2025Year: 2025Length: 407 wordsOfficial source
With the assistance of the SB, and the legal representative, if one exists, the participant is responsible for th e following: (7-1-25) 01. Guiding Principles. Accepting and honoring the guiding principles for the CDCS option define d in these rules. (7-1-25) 02. Person-Centered Planning. Directing the person-centered planning process in order to identif y and document paid and unpaid support and service needs, wants, and preferences. (3-17-22) 03. Rates. Negotiating payment rates for all paid community supports they want to purchase. The y must also ensure rates negotiated for supports and services do not exceed the prevailing market rate, are cost-effectiv e when comparing them to reasonable alternatives, and include the details in the employment agreements. (7-1-25) 04. Agreements. Completing and implementing agreements for the FEA, the SB and CSWs, an d submitting the agreements to the FEA. These agreements must be submitted on Department-approved forms an d must specifically identify the type of support being purchased, the rate negotiated for the support, and the frequenc y and duration of the scheduled support or service. The participant is responsible for ensuring that each employmen t agreement; clearly identifies the qualifications needed to provide the support or services; includes a statement signed by the hired worker that they possess the needed skills; and the signature of the participant that verifies the same . Additionally, each employment agreement will include statements that; the participant is the employer even though payment comes from a third party; employees are under the direction and control of the participant; services must b e delivered consistent with the HCBS rules in IDAPA 16.03.10. “Medicaid Enhanced Plan Benefits;” and no employer- related claims will be filed against the Department. (7-1-25) 05. SSP. Developing a comprehensive SSP, based on the information gathered during person-centere d planning. (7-1-25) 06. Time Sheets and Invoices. Reviewing and verifying that goods and services being billed wer e provided and indicating that they approve of the bill by signing the timesheet or invoice. (7-1-25) 07. Quality Assurance and Improvement. Providing feedback to the best of their ability regardin g their satisfaction with the goods and services they receive and the performance of their workers. (7-1-25) 08. Sufficient Staffing. Hiring enough CSWs to ensure services are rendered in a manner for the health and safety of the participant. (7-1-25) 09. Required Classes. The participant must attend classes on Guide Training by the Department an d FEA Training, (7-1-25) 121. -- 134. (RESERVED)
IDAPA 16.03.13.120: Participant Responsibilities | Justis AI