Technology Dependent Medicaid Waiver 525-05-25-12
(Revised
8/1/07 ML #3106)
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In order for services to be payable under
the provisions of the Medicaid Waiver for Home and Community Based Services,
the person receiving the service must meet all of the following:
- Recipient of Medicaid Program
under the State Plan for Medical Assistance as set forth in Service Chapter
510-05, Medical Assistance Eligibility Factors;
- Age 18 or older and physically
disabled as determined by the Social Security Administration, or be at
least 65 years of age;
- Eligible to receive care
in a skilled nursing facility;
- Ventilator dependent minimum
of 20 hours per day;
- Medically stable - documented
by primary physician at a minimum on annual basis;
- Has an informal caregiver
system for contingency planning;
- Is competent to participate
in development of care plan as documented by physician annually;
- Have an Individual Care
Plan developed and approved by the applicant and HCBS and manager that
adequately meets Health, welfare, and safety;
- Voluntarily choose to participate
in the Technology Dependent Waiver after discussion of available options.
This is documented by the completion of Explanation of Client Choice,
SFN 1597;
- Receive services on a monthly
basis (does not include Case Management); and
- Not eligible or receiving
services through other waivers.
