R539-12-3. Request for Services Committee

(1) The committee shall review protected health information to determine the amount of a person-centered budget based on the person's assessed need. (2) The committee shall consist of a minimum of six division employees. (a) Each committee member shall be a full-time employee with a minimum job classification of program specialist II. (b) The committee chair shall have a minimum job classification of administrator I. (3) Each voting committee member shall review each RFS assigned to that voting committee member. (a) A voting committee member may make a decision for any RFS with a budget adjustment amount of less than $5,000. (b) A voting committee member shall submit an RFS to the committee for a decision if the RFS includes: (i) a budget adjustment amount equal to or greater than $5,000; (ii) a change from an in-home service to an out-of-home service; or (iii) an adaptive equipment request. (4)(a)(i) The committee shall meet at least once a week, except during a week in which a recognized holiday, as described in Section 63G-1-301, or a lack of quorum interferes with the meeting. (ii) If the committee is unable to meet due to a holiday or lack of quorum, the committee chair shall reschedule the meeting for the preceding or following week. (b) For the committee to make a decision about an RFS: (i) at least three voting committee members must be in attendance; and (ii) at least one non-voting committee member who is a division budget specialist must be in attendance. (5) The committee shall: (a) use the RFS process to review each initial budget and person-centered budget adjustment; (b) complete the person-centered budget review each year; and (c) complete the closed plan payment review. (6) The division shall maintain at least three non-voting committee members who can act as a voting committee member in the event of an emergency situation, including: (a) a declared public health emergency or natural disaster; (b) a vacancy in an employee position that reports to the committee chair; or (c) a sudden increase in the volume of requests. (7) Except for a division budget specialist, a non-voting committee member may act as a voting member in the event of an emergency after: (a) 32 hours of participation in committee meetings as a non-voting member; (b) a complete review of training material; (c) consultation with and approval by the committee chair; and (d) approval by the division director.