Reasons for Termination

Section 240 Section 240.950  Reasons for Termination a)         A participant shall be terminated from CCP for one or more of the reasons identified in this Section: 1)         participant is deceased; 2)         participant has been institutionalized or is otherwise not available for services for more than 60 calendar days; 3)         participant's condition has improved and there is no longer a need for CCP services as measured by the CCP DON to determine need for long-term services and supports; 4)         participant cannot be located; 5)         participant/authorized representative has requested termination of services; 6)         participant/authorized representative refuses transfer to a different provider/CCU and the current provider/CCU cannot provide services needed by the participant; 7)         participant/authorized representative has failed to cooperate with the Department/CCU/provider as required and as specified in Section 240.350; 8)         participant no longer meets citizenship requirements; 9)         participant no longer meets residency requirements; 10)       the CCU determines that an adequate person-centered plan of care cannot be developed that meets the participant's determined needs under Section 240.715. 11)       the total value of a participant's non-exempt assets has increased and exceeds $17,500; 12)       participant/authorized representative failed to report the transfer of non-exempt assets within the past 60 months for the purpose of obtaining CCP services; 13)       participant/authorized representative has failed to report or refused to provide documentation of changes in circumstances, as required by Section 240.360; 14)       participant/authorized representative refuses to sign a Participant Agreement – Person-centered Plan of Care; 15)       participant refuses to sign the Participant Agreement and Consent Form in accordance with Section 240.330; 16)       participant/authorized representative refuses to apply for and, if eligible, enroll in medical assistance under Article V of the Public Aid Code, as required by Section 240.865; 17)       participant/authorized representative threatened violence or committed actual violence against a Department representative/CCU/provider as specified in Section 240.355; or 18)       participant has been convicted of fraud or an OIG investigation has determined that fraud has occurred. b)         A participant cannot be terminated for attempting to exercise or exercising their right to appeal an action by the CCU or provider.