1908 INITIATING, CHANGING OR TERMINATING ANY APPROVED SERVICE

1908.1 The case manager shall be responsible for initiating, changing, or terminating Waiver services for each client in accordance with the IHP or ISP and identifying those clients for whom home and community-based services are no longer an appropriate alternative.

1908.2 The case manager shall notify MAA in writing whenever any of the following circumstances occur:

1. (a) Death of a client;
2. (b) Hospitalization of a client or any other circumstance in which Waiver services are interrupted for more than seven days;
3. (c) The client is discharged or terminated from services; or
4. (d) Any other delay in the implementation of Waiver services.

1908.3 Each provider shall notify the client or the client's representative and the case manager, in writing of the intent to terminate services at least fifteen (15) days prior to termination. The written notice shall state the reason for the termination.

1908.4 When the health and safety of the client or provider, agency personnel is endangered, the fifteen (15) day advance notice shall not be required. The provider shall notify the client or client's representative and case manager as soon as possible and a written notice sent on the date of termination.

SOURCE: Final Rulemaking published at 51 DCR 10207 (November 5, 2004).