Participant Responsibilities

With the assistance of the SB, and the legal representative, if one exists, the participant is responsible for the following: (7-1-26) 01. Guiding Principles. Accepting and honoring the guiding principles for the CDCS option defined in the participant agreement. (7-1-26) 02. Person-Centered Planning. Directing the person-centered planning process in order to identify and document paid and unpaid support and service needs, wants, and preferences. (7-1-26) 03. Rates. Negotiating payment rates for all paid community supports they want to purchase. They must also ensure rates negotiated for supports and services do not exceed the prevailing market rate, are cost-effective when comparing them to reasonable alternatives, and include the details in the employment agreements. (7-1-26) 04. Agreements. Completing and implementing agreements for the FEA, the SB, and CSWs, and submitting the agreements to the FEA. These agreements must be submitted on Department-approved forms and must specifically identify the type of support being purchased, the rate negotiated for the support, and the frequency and duration of the scheduled support or service. The participant is responsible for ensuring that each employment 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 be delivered consistent with the HCBS rules and no employer related claims will be filed against the Department. (7-1-26) 05. SSP. Developing a comprehensive SSP, based on the information gathered during person-centered planning. (7-1-26) 06. Time Sheets and Invoices. Reviewing and verifying that goods and services being billed were provided and indicating that they approve of the bill by signing the timesheet or invoice. (7-1-26) 07. Quality Assurance and Improvement. Providing feedback to the best of their ability regarding their satisfaction with the goods and services they receive and the performance of their workers. (7-1-26) 08. Sufficient Staffing. Hiring enough CSWs to ensure services are rendered in a manner for the health and safety of the participant. (7-1-26) 09. Required Classes. The participant must attend classes on Guide Training by the Department and FEA Training. (7-1-26) 802. CONTINUATION OF THE CONSUMER-DIRECTED COMMUNITY SUPPORTS (CDCS) OPTION. The following requirements must be met or the Department may require the participant to discontinue the CDCS option: (7-1-26) 01. Required Supports. The participant is willing to work with an SB. (7-1-26) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 803 Page 163 a. The participant can only change FEA services by providing a written request to their current FEA provider at least sixty (60) days in advance, and this change must occur at the end of a fiscal quarter. The request must include the name of the new FEA chosen by the participant and provide the specific date the change will occur. (7-1-26) b. When a participant provides a written request to their current FEA provider to change to a different FEA provider, the current FEA provider must notify the participant of the specific date that the last payroll run will occur at the end of the fiscal quarter. (7-1-26) 02. SSP. The participant's SSP is followed. (7-1-26) 03. Risk and Safety Back-Up Plans. Back-up plans to manage risks and safety are followed. (7-1-26) 04. Health and Safety Choices. The participant's choices do not directly endanger their health, welfare, and safety or endanger or harm others. (7-1-26)