Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part IX - Developmental Disabilities Services › Chapter 7 - Single Point of Entry and Determination Process for System Entry › Section IX-715 - Redetermination of Eligibility

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				re-determination process follows the same format as the system entry
				process.
B. The face-to-face
				interview will not be necessary if the OCDD entry staff has met with the person
				in the past six months and has consulted with the person on the results of the
				screening tool in order to ensure the measure is fair and meaningful. For
				children in early intervention, a face-to-face team meeting is required
				annually for redetermination.
C.
				Re-determination for eligibility for the system shall be required under the
				following conditions.
1. For children in
				early intervention, there must be an annual redetermination.
2. If a child transitions from EarlySteps,
				there must be a redetermination by age 3, reflective of the change in
				eligibility requirements and legal definitions of developmental disability for
				ages 3 and up, in accordance with the Louisiana Developmental Disability Law
				(R.S.
				28:451.2).
3. If initial eligibility is established on
				or after age 3, but prior to age 10, redetermination will occur within 5 years
				of the initial determination. If the re-determination occurs prior to the
				person's tenth birthday and there are no additional questions that would
				require an additional re-determination, then a review upon the person's tenth
				birthday should be conducted due to changing eligibility requirements and
				definitions at that age. (A person must have three substantial functional
				limitations versus two substantial functional limitations for ages 3 to 10
				years.)
4. If at age 10, when at
				least two statements of approval (SOA) have been issued and the presence of a
				clear lifelong developmental disability exists and is expected to persist
				indefinitely, no additional redeterminations will be needed in adolescence and
				adulthood.
5. If a person does not
				meet criteria noted above or enters the system after age 10 but before 22 years
				of age, redetermination will occur within 5 years of the initial determination.
				If the re-determination occurs prior to the person's sixteenth birthday, and
				there are no additional questions that would require an additional
				re-determination, then a review upon the person's sixteenth birthday should be
				conducted to coincide with transition period from school to work and to
				reassess continued need for services into adulthood.
6. If at age 22, when at least two SOAs have
				been issued and the presence of a clear, lifelong developmental disability
				exists and is expected to persist indefinitely, then no additional
				redeterminations will be required in adolescence and adulthood.
7. If a person enters the system after age 22
				(or between ages 16-22), at least two determinations must occur within 3-5
				years of one another to document and confirm presence of a lifelong
				developmental disability that is expected to persist indefinitely. No further
				redeterminations will be needed if there is no concern over transient nature of
				existing symptoms and need for continued assessment based upon ERT
				review.