Utah Admin. Code R539-2-4 - Waiting List

(1) Except as described in Section R539-2-9, the division shall determine a person's eligibility for a service and priority of service enrollment as described in Subsection 62A-5-102(3) and Rule R539-1.

(2) A person shall be placed on the waiting list for support services, if division funding is not immediately available.

(a) The caseworker shall work with the person to assess the array of services that the person may need.

(b) A person determined eligible for Medicaid may choose to wait for a division Medicaid waiver and seek other services available in a Medicaid approved facility. The Department of Workforce Services determines Medicaid eligibility.

(3) The division determines a person's need score, and orders each score to identify the waiting list critical need ranking.

(a) The caseworker shall complete the Needs Assessment Questionnaire for each person. The Needs Assessment Questionnaire measures the following four areas:

(i) severity of need;

(ii) caregiver support;

(iii) time on the waiting list; and

(iv) urgency of need.

(b) The total need score includes each measure of severity of need, caregiver support, and time on the waiting list. The division uses the urgency of need measure to refer a person to the Emergency Service Management Committee as described in Section R539-2-9.

(c) A person's critical need ranking may change:

(i) if the person's need score changes; or

(ii) in relation to any other person's new or updated need score.

(d) The division director and the state Medicaid director may make an exception to the person's critical need ranking to preserve a Medicaid waiver and statewide service infrastructure.

(4) The division maintains the statewide waiting list by annually confirming each person's interest and need score.

Notes

Utah Admin. Code R539-2-4

Amended by Utah State Bulletin Number 2020-01, effective 12/4/2019 Adopted by Utah State Bulletin Number 2022-05, effective 2/22/2022