Louisiana Administrative Code › Title 67 - SOCIAL SERVICES › Part VII - Rehabilitation Services › Chapter 11 - State Personal Assistance Services Program › Section VII-1121 - Contractor/Fiscal Agent Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. The fiscal agent shall keep a waiting list
				of individuals wanting to apply for the SPAS Program.
B. The fiscal agent shall take a
				pre-application on consumer/recipients who will be placed on the waiting list
				for services and shall use criteria developed by Louisiana Rehabilitation
				Services in assigning a priority category for services.
C. When funds are available; the fiscal agent
				shall send the pre-application and application on the prioritized individual to
				the LRS Program Coordinator to forward to the evaluation team for determination
				or redetermination of eligibility.
D. The fiscal agent shall maintain a case
				record on each consumer/recipient or pre-application. The case record must
				include, as a minimum, the pre-application form and, if applicable, a copy of
				the ineligibility letter, personal assistance plan and all amendments to this
				plan, documentation from medical and/or other appropriate sources, proof of
				income, and any other additional material which is a necessary part of the
				application and/or reconsideration for the SPAS Program.
E. The fiscal agent shall perform
				reconsideration at least annually on all SPAS Program recipients including a
				determination of economic need for services. If there is a change in
				circumstances, a revised personal assistance plan must also accompany the
				reconsideration which is to be sent to the LRS Program Coordinator who will
				forward to the evaluation team.
F.
				The fiscal agent shall make available personal assistance management training
				to all individuals receiving services under this program. Documentation of
				training including dates, name of trainer and names of individuals trained
				should be included in the case record.
G. The fiscal agent shall advise the
				applicant/consumer/recipient of the evaluation team's decision within five
				working days from receipt of the team's decision if found eligible for the SPAS
				Program.
H. The fiscal agent shall
				maintain copies of the time sheets on the attendants in order to document the
				number of days and hours worked. Payments for the time worked shall be paid
				within a reasonable period of time after the invoice is received by the fiscal
				agent.
I. The fiscal agent shall
				investigate information brought to the fiscal agent's attention which causes
				question of continued eligibility. This could include such items as
				falsification of time sheets, misuse of SPAS Program funds, and any other
				violation of the policy stated herein. This information shall be provided to
				the LRS Program Coordinator for disposition. If the information provided is
				substantiated, this shall be reason for denial of services.
J. The fiscal agent shall provide the
				consumer/recipient with a copy of the SPAS Program Policy Manual.
AUTHORITY NOTE:
				  Promulgated in accordance with R.S. 49:664.6 and
				  R.S.
				  36:477.