LAC 50:XXI.2501. Admission Criteria

A. Admission to the ADHC Waiver Program shall be determined in accordance with the following criteria: 1. meets the target population criteria as specified in the approved waiver document; 2. initial and continued Medicaid eligibility; 3. initial and continued eligibility for nursing facility level of care; 4. justification, as documented in the approved POC, that the ADHC waiver services are appropriate, cost-effective and represent the least restrictive environment for the individual; and 5. reasonable assurance that the health, safety and welfare of the individual can be maintained in the community with the provision of ADHC waiver services. B. Failure of the individual to cooperate in the eligibility determination process, POC development, or to meet any of the criteria above shall result in denial of admission to the ADHC waiver.