Sec. 10.09.30.05. Limitations

A. STEPS is advisory in nature and is designed to assist individuals in identifying and using appropriate long term care services.

B. A restriction may not be placed on the qualified recipient's option to receive the STEPS multidisciplinary assessment or case management services.

C. STEPS does not restrict or otherwise affect:

(1) Eligibility for Title XIX benefits or other available benefits or programs;

(2) The freedom of a recipient to select from all available services, including nursing home care, for which the individual is found to be eligible; or

(3) The participant's free choice of qualified providers.

D. STEPS services may not be reimbursed if they are:

(1) Provided as an integral and inseparable part of another covered Program service, since payment for case management is already included in payment for that service; or

(2) Provided as part of an institution's discharge planning.

E. Reimbursement may not be made for STEPS case management if the participant is receiving the same type of case management services under another Program authority.