Health, Department of

Developmental Disabilities - Children Respite Program

Effective Date: 05/12/1994 to Current

Rule Type: Current Rules & Regulations

Reference Number: 048.0022.4.05121994

CHAPTER 4

PROCEDURES

Section 1. Application Process.

(a) Parents shall file an application with the Division. The application shall contain at least the following information:

(i) Applicant name, address and phone number; (ii) Name of child for whom service is being requested; (iii) Nature of the child's disability; (iv) Eligibility status regarding the home and community based service waiver under

Medicaid;

(v) Other respite services the child is receiving; (vi) Household composition; (vii) Parent(s) gross income.

(b) The Division shall determine eligibility in a reasonable time period.

(c) The Division shall notify applicant of approval or disapproval of the application in writing.

(d) Eligibility shall be reviewed at least annually.

(e) The Division shall protect the confidentiality of all personal information gathered for the purposes of establishing eligibility.

Section 2. Service Authorization.

(a) Following application approval, the parent shall recruit and train a provider.

(b) Documentation of the provider's qualification and related information shall be submitted to the Division by the provider.

Section 3. Provider Invoice.

(a) The Division shall provide a written invoice to the provider and parent for signature. The invoice shall contain at least the following information:

(i) Provider name, address, and phone number; (ii) Rate of payment; (iii) Rate of parent co-payment; and (iv) Duration.

Section 4. Payment Process.

(a) Provider shall submit an invoice to the Division and parent detailing services provided. The invoice shall contain at least the following information:

(i) Child(ren)'s name(s); (ii) Dates and times of service; (iii) Total hours; (iv) Amount of co-payment billed to parent; (v) Amount due from the Division; and (vi) Provider shall certify accuracy of information. (b) The Division shall process invoices and remit a payment within thirty (30) days from the end of the previous month.

(c) The provider shall be responsible for collecting parent co-payment.

(d) The provider shall maintain a copy of all invoices for a minimum of three (3) years.