Fla. Admin. Code Ann. R. 65G-4.0217 - iBudget Cost Plan
(1) When a
client's iBudget Amount is determined, the WSC must submit a cost plan
proposal, which includes a completed Verification of Available Services
form, that reflects the specific Waiver services and supports
(paid and unpaid) that will assist the client to achieve identified goals, and
the provider of those services and supports, including natural supports. The
cost plan proposal is derived from person-centered planning. The Verification
of Available Services form is a material part of the cost plan proposal.
Failure to include the Verification of Available Services form will result in a
denial of the cost plan.
(2) The
WSC shall provide documentation for requested services as specified in Section
C of the WSC Cost Plan and Significant Additional Needs Job Aid to document
medical necessity and compliance with Handbook coverage and
limitations.
(3) Each client's
proposed iBudget cost plan shall be reviewed and approved by the Agency in
conformance with the iBudget Rules and the Handbook. Any conflict between the
Handbook and these iBudget Rules shall be resolved in favor of these
rules.
(4) For a client to begin
receiving a specific Waiver service, that service must have been listed in an
Approved Cost Plan and the service authorization must have been issued to the
provider prior to the delivery of service.
(5) Clients must budget their funds so that
their needs are met throughout the plan year. All clients shall allocate
iBudget funding each month for Waiver support coordination services, which is a
required service under the Waiver.
(6) This rule shall be reviewed, and if
necessary, renewed through the rulemaking process five years from the effective
date.
Notes
Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.063, 393.0662, 409.906 FS.
New 7-7-16, Amended 7-1-21.
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