Idaho Administrative Code › Title IDAPA 16 - Health and Welfare, Department of › Rule 16.03.13 - CONSUMER-DIRECTED SERVICES › Section 16.03.13.160 - SUPPORT AND SPENDING PLAN DEVELOPMENT

Current through August 31, 2023
01.
Support and Spending Plan Requirements
. The participant, with the help
			 of their support broker, must develop a comprehensive support and spending plan
			 based on the information gathered during the person-centered planning. The
			 support and spending plan is not valid until authorized by the Department and
			 must include the following: (3-17-22)
a. The
			 participant's preferences and interests by identifying all the supports and
			 services, both paid and non-paid, the participant wants and needs to live
			 successfully in their community. (3-17-22)
b. Paid or non-paid consumer-directed
			 community supports that focus on the participant's wants, needs, and goals in
			 the following areas: (3-17-22)
i. Personal
			 health and safety including quality of life preferences; (3-17-22)
ii. Securing and maintaining employment;
			 (3-17-22)
iii. Establishing and
			 maintaining relationships with family, friends and others to build the
			 participant's circle of supports; (3-17-22)
iv. Learning and practicing ways to recognize
			 and minimize interfering behaviors; and (3-17-22)
v. Learning new skills or improving existing
			 ones to accomplish set goals. (3-17-22)
c. Support needs such as: (3-17-22)
i. Medical care and medicine;
			 (3-17-22)
ii. Skilled care including
			 therapies or nursing needs; (3-17-22)
iii. Community involvement;
			 (3-17-22)
iv. Preferred living
			 arrangements including possible roommate(s); and (3-17-22)
v. Response to emergencies including access
			 to emergency assistance and care. This plan should reflect the wants,
			 preferences, and needs of the whole person, regardless of payment source, if
			 any. (3-17-22)
d. Risks or
			 safety concerns in relation to the identified support needs on the
			 participant's plan. The plan must specify the supports or services needed to
			 address the risks for each issue listed, with at least three (3) backup plans
			 for each identified risk to implement in case the need arises;
			 (3-17-22)
e. Sources of payment for
			 the listed supports and services, including the frequency, duration, and main
			 task of the listed supports and services; (3-17-22)
f. The budgeted amounts planned in relation
			 to the participant's needed supports. Community support worker employment
			 agreements submitted to the fiscal employer agent must identify the negotiated
			 rates agreed upon with each community support worker along with the specific
			 support being purchased, the frequency and duration that the support will be
			 provided, and the payment increment; that is, hourly or daily. The fiscal
			 employer agent will compare and match the employment agreements to the
			 appropriate support categories identified on the initial spending plan prior to
			 processing time sheets or invoices for payment; and (3-17-22)
g. Additional HCBS person-centered plan
			 requirements as defined in IDAPA 16.03.10, "Medicaid Enhanced Plan Benefits,"
			 Sections 313,
			 316, and
			 317. (3-17-22)