Utah Admin. Code R539-16-4 - Caregiver Compensation Service Delivery Method Specifications for the Community Supports Waiver, Community Transitions Waiver, and Acquired Brain Injury Waiver
(1) Services
delivered through the caregiver compensation service delivery method are
implemented in accordance with the terms published in the service descriptions
in the provider contract or in the SAS service code descriptions on the
division's website.
(a) The division shall
communicate changes to SAS service code descriptions to fiscal agents before
the implementation of the change.
(b) Fiscal agents shall communicate changes
to SAS service code descriptions to SAS employers and SAS employees before the
implementation of the change.
(2) The number of hours supported living
services can be provided through the caregiver compensation service delivery
method shall be approved by the RFS committee and based on assessed need. The
number of authorized hours falls into one of four categories, reflected in this
table:
|
TABLE Authorized Hours for Supported Living Services through the Caregiver Compensation Service Delivery Method |
|
|
Category |
Authorized Hours |
|
Category 1 |
Up to 10 hours per week |
|
Category 2 |
Up to 20 hours per week |
|
Category 3 |
Up to 30 hours per week |
|
Category 4 |
Up to 40 hours per week |
(3)
The categories represent the maximum number of compensated service hours a
caregiver may receive to provide extraordinary care to a person.
(4) The category a person is determined
eligible for is based on the assessed needs of the person and the specific
waiver the person participates in.
(a) For a
person participating in the Community Supports Waiver or Community Transitions
Waiver, assessed need is determined by the person's Utah Comprehensive
Assessment of Needs and Strengths (UCANS) score;
(b) For a person participating in the
Acquired Brain Injury Waiver, assessed need is determined by the person's Utah
Comprehensive Brain Injury Assessment (CBIA) score.
(c) Additional information provided by the
support coordinator, in coordination with the family, including information
related to medical or behavioral needs, shall also be considered.
(5) The caregiver compensation
service delivery method is evaluated and approved or denied through the RFS
process. If approved, the caregiver compensation service delivery method may be
used to deliver supported living services to meet a person's needs.
(6) A support coordinator may submit a
request through the RFS process for supported living services to be provided
through the caregiver compensation delivery method when a person seeks to use
caregiver compensation as the service delivery method to receive any of the
person's needed supported living service, and:
(a) the person is entering services and is
determined to need supported living;
(b) the person seeks to modify their PCSP and
budget to move any part of the person's current budget to supported living
delivered through the caregiver compensation service delivery method;
or
(c) based on documentation
provided through the RFS process, the RFS committee authorizes additional
services due to an overall increase in the person's needs.
(7) Caregiver compensation shall be
identified on the PCSP as the service delivery method for the person's
supported living services when:
(a) the RFS
committee has reviewed and approved the support coordinator's authorization for
supported living to be delivered through the caregiver compensation service
delivery method; and
Notes
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