coordinator may make a budget neutral change to a person-centered budget
without review by a voting committee member.
A support coordinator may not adjust the
following services in a budget neutral change, except as described in
Subsections R539-12-6(2) and R539-12-6(3):
a restricted service code;
service code that requires completion of an individualized budget worksheet to
determine the daily rate; or
a service code for which any other agency pays the state match rate as defined
(b) The support coordinator must
review each criteria, justification, and documentation requirement for each
service before making a need based change.
(c) A budget neutral change requires that it
be fully funded within the plan total for the plan cycle.
(d) A budget neutral change must maintain the
integrity of the person-centered support plan as a whole.
The support coordinator shall document
any budget neutral change in the person-centered support plan and the division
case management system. The support coordinator must:
(i) update the budget, goal, support, and
(ii) document the person's
and person-centered planning team's involvement in the service
(iii) document any
justification for a service change in a log note in USTEPS; and
(iv) include the date of a related log note
in the addendum to the person-centered support plan.
If the day program daily rate
is sufficient to cover the extended living services (ELS) daily rate as defined
in the contract, a support coordinator may move the dollar value of the units
not used in the day program to fund additional days of ELS.
The ELS exception may be used if the
person does not attend the day program:
because of illness or any other unforeseen issue; and
(ii) the person uses a residential
(b) The support
coordinator must document use of the standard 16 days of ELS built into the
individualized budget worksheet for a residential service before requesting
additional ELS funding.
A support coordinator may adjust the
absentee days for the residential habilitation service (RHS) by contacting a
division budget specialist.
(a) The change to
absentee days must not increase the overall cost of RHS.
A division budget specialist may make an
adjustment to absentee days if the described use of the absentee days complies
(i) federal and state law related to
(ii) the state
implementation plan for the 1915c Medicaid waiver; and
(iii) each scope of work and service
description requirement in the contract.
(4) The support coordinator shall notify the
division of a budget neutral change through email@example.com.
Utah Admin. Code
State Bulletin Number 2022-07, effective