This may, or may not, include the necessity of a personalized instructor or extra staff. So how much you need must be justified. Providers must also be able to justify their costs. It is not a waiver, federal, or Division rule. Charging too much for a service in a plan of care is called financial abuse in Medicaid terminology, and it is never acceptable.
Inconsistency is one of the biggest reasons for denying requests.
If you state someone is suicidal in your letter of need, but your training objectives never address this behavior, your request will be returned denied. If someone is at extreme risk because they eat glass, but your training objectives do not address this behavior, your request will be denied. This includes your letter of need, as well as in your objectives. Just because one individual requires more than one hour of training, it should not automatically be assumed that forced rates are necessary. Think in terms of the person served when writing your goals.