048.0037.46.8

Ch. 46, § 8. Inventory for Client and Agency Planning Assessment

Last amended: 2019Length: 213 wordsOfficial source

Cite as Medicaid Rules, Ch. 46, § 8

(a) An individual is not eligible for waiver services pursuant to Section 4 of this Chapter unless the individual receives a qualifying Inventory for Client and Agency Planning (ICAP) assessment score for the individual's age. (i) If an individual is age zero (0) through one (1), the adaptive behavior quotient shall be .50 or below. (ii) If an individual is age two (2) through five (5): (A) The ICAP service score shall be between 30 and 44, depending on age; or (B) The adaptive behavior quotient shall be .50 or below. (iii) If an individual is age six (6) through twenty (20): (A) The ICAP service score shall be between 48 and 70, depending on age; or (B) The adaptive behavior quotient shall be .70 or below. (iv) If an individual is age twenty-one (21) or older: (A) The ICAP service score shall be 70 or less; or (B) The individual shall have a functional limitation in at least three (3) of the following ICAP areas: self-care, language, learning/cognition, mobility, self-direction, or independent living. (b) The ICAP assessment shall be administered by the Division's designee, and shall be completed every five (5) years, or more frequently at the option of the Division, to provide continued verification that the participant meets waiver clinical eligibility.
048.0037.46.8: Ch. 46, § 8. Inventory for Client and Agency Planning Assessment | Justis AI