37.40.1425    HOME AND COMMUNITY-BASED SERVICES FOR ELDERLY AND PHYSICALLY DISABLED PERSONS: CONSUMER-DIRECTED GOODS AND SERVICES, REQUIREMENTS

(1) Consumer directed goods and services is defined in ARM 37.40.1402.

(2) These items could include the purchase of appliances and vans, with or without modifications.

(3) These items or services must address an identified need in the consumer's service plan and must meet any or all of the following requirements:

(a) decrease the need for other Medicaid services;

(b) promote inclusion in the community;

(c) promote the independence of the consumer;

(d) fulfill a medical, social, or functional need based on unique cultural approaches; or

(e) increase the person's safety in the community or home environment.

(4) Goods and services purchased must meet the following criteria:

(a) meet the consumer's identified needs and outcomes as outlined in their service plan;

(b) collectively must provide an alternative to institutional placement;

(c) be a cost-effective means of addressing an identified need in the service plan; and

(d) be of sole benefit to the consumer.

History: 53-2-201, 53-6-101, 53-6-111, 53-6-113, 53-6-402, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, 53-6-402, MCA; NEW, 2011 MAR p. 1722, Eff. 8/26/11.