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

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(i) Shopping;<br />

(ii) Transportation;<br />

(iii) Money management;<br />

(iv) Mileage reimbursement;<br />

(v) Social companionship; or<br />

(vi) Respite<br />

(E) Activities and goals related to the provision of ADL services<br />

must be sufficiently documented in the individual's ISP.<br />

(F) Planned expenses must be based upon the least costly<br />

means of providing adequate services and must only be to the<br />

extent necessary to meet the documented ADL needs.<br />

(G) The supplement <strong>for</strong> ADLs may not cause the cost per any<br />

plan year to exceed the individual cost limit. There is an<br />

exception <strong>for</strong> individuals receiving both support services under<br />

these rules who had a benefit level at the individual cost limit<br />

and state plan personal care services under OAR chapter 411,<br />

division 034, as of June 30, 2005. These individuals may<br />

continue to access the basic supplement and the supplement<br />

<strong>for</strong> ADLs until the individual terminates their receipt of support<br />

services or becomes ineligible <strong>for</strong> one of the supplements. The<br />

combined basic benefit, the basic supplement, and supplement<br />

<strong>for</strong> ADLs must remain above the individual cost limit to remain<br />

eligible <strong>for</strong> this exception.<br />

(H) For Medicaid recipients receiving state plan personal care<br />

services under OAR chapter 411, division 034 entering support<br />

services after June 30, 2005, the Medicaid Personal Care<br />

Assessment (Form SDS 0531A) shall serve as the individual's<br />

authorized ISP <strong>for</strong> a period not to exceed 90 days.<br />

(I) The supplemental ADL services are not intended to replace<br />

the resources available to an individual receiving support<br />

Page 66 of 106

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