Utah Admin. Code R539-12-3 - Request for Services Committee

(1) The committee reviews protected health information to determine the amount of a person-centered budget based on the person's assessed need.

(2) The committee consists of a minimum of six division employees.

(a) Each committee member shall be a full-time employee with a minimum job classification of program specialist II.

(b) The committee chair must have a minimum job classification of administrator I.

(c) A voting committee member must be:

(i) supervised by the committee chair; or

(ii) designated as a voting committee member by the division director.

(d) A division budget specialist may not be a voting committee member.

(3) A voting committee member shall review each request for services assigned to the voting committee member.

(a) A voting committee member may make a decision for any request for services with a budget adjustment amount less than $5,000.

(b) A voting committee member shall submit the following request for services to the committee for a decision:

(i) a budget adjustment amount equal to or more than $5,000;

(ii) a change from an in-home service to an out-of-home service; or

(iii) an adaptive equipment request.

(4) The committee shall meet at least once a week, except during a week in which a recognized holiday or a lack of quorum interferes with the meeting. The committee chair must reschedule a meeting during the preceding or following week.

(a) At least three voting committee members shall be in attendance to make a decision about a request for services.

(b) At least one non-voting committee member who is a division budget specialist shall be in attendance to make a decision about a request for services.

(5) The committee shall:

(a) use the request for services process to review each initial budget and person-centered budget adjustment;

(b) complete the person-centered budget review each year; and

(c) complete the closed plan payment review.

(6) The division must maintain at least three non-voting committee members who can act as a voting committee member in the event of an emergency situation. An emergency situation includes:

(a) a declared public health emergency or natural disaster;

(b) a vacancy in an employee position that reports to the committee chair; or

(c) a sudden increase in the volume of requests.

(7) Except for a division budget specialist, a non-voting committee member may act as a voting member in the event of an emergency after completion of:

(a) 32 hours of participation in committee meetings as a non-voting member;

(b) review of training material;

(c) consultation with and approval by the committee chair; and

(d) approval by the division director.

Notes

Utah Admin. Code R539-12-3

Adopted by Utah State Bulletin Number 2022-07, effective 3/25/2022