Sec. 10.09.26.09. Conditions for Reimbursement

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The Department shall reimburse for services in Regulations .04-.08-5 of this chapter when they are:

A. Provided to waiver participants;

B. With the exception of medical day care services, contained in the waiver participant's plan of care, approved initially and within 12 months after that by a:

(1) Licensed physician;

(2) Licensed physician's assistant or licensed nurse practitioner in accordance with applicable law; or

(3) Qualified developmental disabilities professional; and

C. With the exception of medical day care services, adequately described in the progress notes in the waiver participant's record, signed and dated by a qualified developmental disabilities professional.

                    
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