Sec. 10.09.54.19. Covered Services — Case Management Services

A. Case management services shall be targeted to address the individualized needs of the participant and be sensitive to the educational background, culture, and general environment of the participant.

B. Case management services include time spent by a qualified provider conducting any of the following activities:

(1) Assisting with the initial or annual waiver eligibility process;

(2) Assisting with the application and supporting the individual in maintaining all public and private benefits, resources, and entitlements;

(3) Conducting an assessment of needs, and developing a person-centered plan of service, to include all services needed to live safely in the community;

(4) Assisting the participant with referrals, access, and coordination of services, both Medicaid and non-Medicaid, to address the participant’s needs including, but not limited to:

(a) Behavioral health;

(b) Educational services;

(c) Disposable medical supplies and durable medical equipment;

(d) Housing;

(e) Medical services; and

(f) Social services;

(5) Monitoring the provision of services to determine if services are received in accordance with the plan of services;

(6) Facilitating referrals to other programs if the individual is denied waiver services; and

(7) Using information technology systems developed by the Department.