Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65G - Agency for Persons with Disabilities › Chapter 65G-14 - QUALIFIED ORGANIZATIONS AND WAIVER SUPPORT COORDINATION › Section 65G-14.001 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
(1) "Agency" means the Agency for Persons
				with Disabilities.
(2)
				"Clearinghouse" means a database created and maintained by the Agency for
				Health Care Administration that allows the results of criminal history checks
				to be shared among specified agencies according to Section 435.12, Florida
				Statutes (F.S.).
(3) "Code of
				Ethics" means a set of values, standards, and principles to guide
				decision-making and everyday professional conduct of Support Coordinators
				employed by a Qualified Organization.
(4) "Consultant" shall have the same meaning
				as in the Consumer-Directed Care Plus Program Coverage, Limitations, and
				Reimbursement Handbook ("CDC+ Handbook"), as adopted by Rule
				 59G-13.088, Florida
				Administrative Code (F.A.C.).
(5)
				"Consumer-Directed Care Plus Program" or "CDC+ Program" means a
				consumer-directed program that provides an alternative to the Medicaid State
				Plan and the Home and Community-Based Services Medicaid Waiver (also known as
				the iBudget Waiver). The CDC+ Program operates under the authority of section
				1915(j) of the Medicaid State Plan Amendment of the Social Security Act and is
				governed by Title 42 of the Code of Federal Regulations, Part 441, and Sections
				 409.221 and
				 393.0662(2) and
				(7), F.S.
(6) "Corrective Action" means any act of
				remediation that the Qualified Organization is required to complete in response
				to any state or federal regulatory agency's or its representative's findings of
				unacceptable performance, nonperformance, or noncompliance with the terms and
				conditions of this chapter, Rules
				 65G-4.0213 through 4.0218,
				F.A.C. ("iBudget Rules"), Chapter 65G-10, F.A.C., Section
				 393.0663, F.S., or the
				Developmental Disabilities Individual Budgeting Waiver Services Coverage and
				Limitations Handbook.
(7)
				"Corrective Action Plan" means a plan prepared by the Qualified Organization
				and approved by the Agency by which the corrective action will be accomplished.
				A Corrective Action Plan has the same meaning as a Plan of
				Remediation.
(8) "Developmental
				Disabilities Individual Budgeting Waiver Services Coverage and Limitations
				Handbook" or "iBudget Handbook" refers to the handbook incorporated by
				reference in Rule  59G-13.070, F.A.C.
(9) "Employee" means a person who works in
				the service of an employer, the Qualified Organization, in a relationship in
				which the employer has the right to control the details of his or her job
				performance, as opposed to an independent contractor.
(10) "Home and Community Based Services
				Waiver" or "Waiver" means the Medicaid waiver authorized by
				42 U.S.C.
				1396n(c) of the federal
				Social Security Act and Section
				 409.906, F.S., that provides
				Medicaid funding for home and community based services to eligible persons with
				developmental disabilities who are eligible for Agency services and who live at
				home or in a home-like setting.
(11) "Home Region" means the Region in which
				the applicant submitted its application to become a Qualified Organization and
				where services will be rendered by the Qualified Organization, if approved. If
				the applicant wishes to render services in multiple Regions, only one
				application must be submitted to the Home Region as described in Rule
				 65G-14.002, F.A.C.
(12) "iConnect" means the Agency's designated
				data management system as described in Section
				 393.066(2),
				F.S.
(13) "Legal Representative"
				means:
(a) For clients under the age of 18
				years, the legal representative or health care surrogate appointed by the
				Florida court to represent the child or anyone designated by the parent(s) of
				the child to act on the parent(s)' behalf (e.g., due to military
				absence).
(b) For clients age 18
				years or older, the legal representative could be the client, anyone designated
				by the client through a Power of Attorney or Durable Power of Attorney, a
				medical proxy under Chapter 765, F.S., or anyone appointed by a Florida court
				as a guardian or guardian advocate under Chapter 393 or 744,
				F.S.