Adult Dd Waiver Services: Procedural Requirements

01. Service Authorization. All waiver services must be identified on a service plan and authorized by IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 614 Page 150 the Department. The service plan must be reviewed by a plan monitor or service coordinator at a frequency determined by the person-centered planning team, but at least every ninety (90) days. (7-1-26) 02. Documentation Required. (7-1-26) a. Written documentation of each visit made or service provided to a participant including: (7-1-26) i. Service date; (7-1-26) ii. Service(s) provided; (7-1-26) iii. Statement of the participant's response to services, including any changes in the participant's condition; (7-1-26) iv. Length of visit, including time in and out. Unless a participant is determined by a Service Coordinator to be unable to do so, the delivery is verified by the participant by signing the service record; and (7-1-26) v. A copy of the above information is maintained in the participant's home unless the Department authorizes elsewhere. Failure to maintain documentation results in recoupment for undocumented services. (7-1-26) b. Service plans must specify the services required by a participant. A copy maintained in the participant's home must be available to all service providers and the Department. (7-1-26) c. PIP and provider status reviews, if required. (7-1-26) 03. Provider Notification. Providers must notify the plan monitor and document on the service record when any significant changes in participant's condition are noted during service delivery. (7-1-26)