Eligibility determination - Authorization of services

1. The department is responsible for: a. Verifying that the individual transferred to active status continues to meet the eligibility criteria for placement into the ex-SPED program pool; b. Developing a care plan; c. Authorizing covered services in accordance with department policies and procedures; and d. Assuring that other potential federal and third-party funding sources for similar services are sought first. 2. An individual who is discharged from an inpatient hospital stay, skilled nursing facility, swing-bed facility, long-term care facility, or basic care facility or who has been off the ex-SPED program for fewer than ninety days, does not have to go through the ex-SPED program pool to receive services through the ex-SPED program provided the individual meets all eligibility criteria in section 75-03-24-02. 3. An applicant is eligible to receive covered services reimbursed under North Dakota Century Code chapter 50-06.2 or this chapter even if the applicant has natural supports.