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Support Services for Adults with Developmental ... - DHS home

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specific to the individual and the services being converted are not<br />

subject to statewide service transitions.<br />

(A) Individual plan year costs must always be less than the<br />

individual cost limit; and<br />

(B) The brokerage must review the need <strong>for</strong> supports and their<br />

cost-effectiveness <strong>with</strong> the individual and the individual's legal<br />

representative at least annually and must make budget<br />

reductions when allowed by the ISP.<br />

(d) Individuals whose support funds were specifically assigned<br />

through a Department contract to self-directed support services prior<br />

to the date designated by the Department <strong>for</strong> transfer of the individual<br />

from self-directed support services to a brokerage may have access<br />

to the amount specified in the Department contract as available <strong>for</strong><br />

the individual's use.<br />

(A) Individual plan year costs must always be less than the<br />

individual cost limit; and<br />

(B) The brokerage must review the need <strong>for</strong> supports and their<br />

cost-effectiveness <strong>with</strong> the individual and the individual's legal<br />

representative at least annually and must make budget<br />

reductions when allowed by the ISP.<br />

(e) Individuals transferring from the Department's Home and<br />

Community-Based Waiver <strong>Services</strong> <strong>for</strong> the Aged and <strong>Adults</strong> <strong>with</strong><br />

Physical Disabilities who have been determined ineligible <strong>for</strong> those<br />

waiver service funds in accordance <strong>with</strong> OAR 411-015-0015(4)(c),<br />

shall have limited access to support services funds as described in<br />

these rules. The amount of support services funds available shall be<br />

equal to the Department's previous service costs <strong>for</strong> the individual <strong>for</strong><br />

no more than 365 calendar days. The 365 calendar days begins the<br />

date the individual starts receiving support services exclusively<br />

through a brokerage.<br />

(f) For Medicaid recipients eligible <strong>for</strong> and choosing services under<br />

the <strong>Support</strong> <strong>Services</strong> Waiver, individuals may have access to a basic<br />

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