Authority: IC 12-8-6.5-5; IC 12-15

Affected: IC 12-13-7-3; IC 12-29; IC 25-23.6-10.5; IC 25-27.5-5

Sec. 3. (a) The purpose of the application process is to provide families with a means to explore whether their child may be eligible for and benefit from CMHW services.

(b) A referral application for CMHW services must be made in the manner required by the office.

(c) Access sites, which are office-approved CMHW service agencies, provide a local point of access in order for applicants and their families to complete the CMHW services application process that includes the following:

1. (1) Completion of the CMHW services application.
2. (2) A face-to-face evaluation and administration of the behavioral health assessment tool to assist the office in determining whether an applicant meets the eligibility and needs-based criteria for enrollment in CMHW services.

(d) The office, which makes the final eligibility determination for all applicants for CMHW services, shall do the following:

1. (1) Review the applicant's application, evaluation, and behavioral health assessment tool findings.
2. (2) Notify the access site regarding the office eligibility determination with an eligibility determination form.

(e) The eligibility determination form shall include the following, as applicable:

1. (1) Approval of the applicant for enrollment in CMHW services, if the eligibility and needs-based criteria are met.
2. (2) Denial of the applicant for enrollment in CMHW services if either the eligibility criteria or the needs-based criteria is not met.
3. (3) Initial office-approved plan of care.

(f) The access site shall do the following:

1. (1) Notify the family regarding the office approval or denial of the applicant for the CMHW services program.
2. (2) Provide the family with information regarding the family's rights, including information regarding how to appeal the office eligibility determination, if so desired.

(Office of the Secretary of Family and Social Services; 405 IAC 5-21.7-3; filed Dec 18, 2013, 11:13 a.m.: 20140115-IR-405130211FRA; filed Aug 1, 2016, 3:44 p.m.: 20160831-IR-405150418FRA; readopted filed Jul 28, 2022, 2:21 p.m.: 20220824-IR-405220205RFA; readopted filed May 30, 2023, 11:54 a.m.: 20230628-IR-405230292RFA)