Support And Spending Plan (Ssp) Development

01. Requirements. The participant, with the help of their SB, must develop a comprehensive SS P based on the information gathered during person-centered planning. The person-centered planning process must mee t all HCBS requirements as defined in IDAPA 16.03.10, “Medicaid Enhanced Plan Benefits.” The SSP is not vali d until authorized by the Department. The SSP must include: (7-1-25) a. The participant's preferences and interests by identifying all the supports and services, both pai d and non-paid, the participant wants and needs to live successfully in their community. (3-17-22) b. Paid or non-paid supports that focus on the participant's wants, needs, and goals in the following areas: (7-1-25) i. Personal health and safety including quality of life preferences; (3-17-22) ii. Securing and maintaining employment for SDCS; (7-1-25) iii. Establishing and maintaining relationships with family, friends and others to build the participant' s COS; (7-1-25) iv. Learning and practicing ways to recognize and minimize interfering behaviors for SDCS; and (7-1-25) v. Learning new or improving existing skills to accomplish set goals for SDCS. (7-1-25) c. Support needs such as: (3-17-22) i. Medical care and medicine for SDCS; (7-1-25) ii. Skilled care including therapies or nursing needs for SDCS; (7-1-25) iii. Community involvement; (3-17-22) iv. Preferred living arrangements including possible roommate(s); and (3-17-22) v. Response to emergencies including access to emergency assistance and care. This plan should reflect the wants, preferences, and needs of the whole person, regardless of payment source, if any. (3-17-22) d. Risks or safety concerns in relation to the identified support needs on the participant's SSP. Th e plan must be active and specify the goods, supports or services needed to address the risks for each issue listed, with at least three (3) backup plans for each identified risk to implement in case the need arises; (7-1-25) e. Sources of payment for the listed supports and services, including the frequency, duration, and main task of the listed supports and services; (3-17-22) f. The budgeted amounts planned in relation to the participant's needed supports.The FEA wil l compare and match the employment agreements to the appropriate support categories identified on the initial SSP prior to processing time sheets or invoices for payment; and (7-1-25) 02. Limitations. (7-1-25) a. Traditional Adult DD waiver services, rehabilitative, or habilitative services must not be purchase d under the CDCS option. Because a participant cannot receive these traditional services and CDCS at the same time , the participant, the SB, and the Department must all work together to ensure that there is no interruption of require d services when moving between traditional services and the CDCS option; (7-1-25) b. Paid community supports must not be provided in a group setting with recipients of traditiona l Adult DD waiver services, rehabilitative, or habilitative services. This does not prevent a participant who has selecte d the CDCS option from choosing to live with recipients of traditional Adult DD waiver, rehabilitative, or habilitativ e services; (7-1-25) c. All paid community supports must fit into a type of community support described in these rules . The SSP must not include supports or services that are illegal, that adversely affect the health and safety of the participant, that do harm, or that violate or infringe on the rights of others; (7-1-25) d. SSPs that exceed the approved budget amount will not be authorized; and (7-1-25) e. Time sheets or invoices exceeding the authorized SSP amount will not be paid by the FEA. (7-1-25) 161. -- 179. (RESERVED)