self-directed
(II)The term “self-directed” means, with respect to the home and community-based services offered under the State plan amendment, such services for the individual which are planned and purchased under the direction and control of such individual or the individual’s authorized representative, including the amount, duration, scope, provider, and location of such services, under the State plan consistent with the following requirements: (III)For purposes of subclause (II)(bb), the requirements of this subclause are that the plan— (IV)With respect to individualized budgets described in subclause (III)(ff), the State plan amendment— (H) (i)The State ensures that the provision of home and community-based services meets Federal and State guidelines for quality assurance. (ii)The State establishes standards for the conduct of the independent evaluation and the independent assessment to safeguard against conflicts of interest. (I)The State allows for at least annual redeterminations of eligibility, and appeals in accordance with the frequency of, and manner in which, redeterminations and appeals of eligibility are made under the State plan. (J)The State, at its option, elects to provide for a period of presumptive eligibility (not to exceed a period of 60 days) only for those individuals that the State has reason to believe may be eligible for home and community-based services. Such presumptive eligibility shall be limited to medical assistance for carrying out the independent evaluation and assessment under subparagraph (E) to determine an individual’s eligibility for such services and if the individual is so eligible, the specific home and community-based services that the individual will receive.