R414-520-3. Eligibility Requirements

(1) The Department uses the following criteria to determine waiver eligibility: (a) an assessment of a child's ability to perform age-appropriate activities of daily living and that child's level of independence in the performance of the activity; and (b) an evaluation to determine whether a child meets nursing facility level-of-care in accordance with Section R414-502-3. (2) For a child who meets the criteria in Subsection (1), a point value is attributed to the initial application and annual re-evaluation that includes the following: (a) current medical providers; (b) condition or diagnosis; (c) date of last medical visit; (d) documentation of more than three months of dependence on medical devices, treatments, therapies, or subspecialty services to reach a minimum medical score; and (e) an evaluation of the impact on the parent or guardian who has provided care to the child with complex medical needs during the last 12 months.