Definitions, Individual and Family Supports (IFS) Determination Procedure, Individual and Family Supports Prioritization Criteria  

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    DEPARTMENT OF CHILDREN AND FAMILIES

    Agency for Persons with Disabilities

    RULE NOS.:RULE TITLES:

    65G-13.001Definitions

    65G-13.002Individual and Family Supports (IFS) Determination Procedure

    65G-13.003Individual and Family Supports Prioritization Criteria

    NOTICE OF CHANGE

    Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 42 No. 69, April 8, 2016 issue of the Florida Administrative Register.

     

    65G-13.001 Definitions

    (1) through (4) No change.

    (5) Individual representative: The individual’s parent (for a minor), guardian, guardian advocate, a designated person holding a power of attorney for decisions regarding health care or public benefits, designated attorney or a healthcare surrogate. or in the absence of any of the above, a medical proxy as determined under s. 765.401, F.S. (7) In-Home Subsidy: means financial assistance the Agency provides for  individuals receiving Supported Living services when funds are available that the Agency reassesses quarterly to supplement the individuals  income, based on his or her individual need.

    (6) In-Home Subsidy: means financial assistance the Agency provides for individuals receiving Supported Living services when funds are available that the Agency reassesses quarterly to supplement the individuals income, based on his or her individual need.

    (7) Natural Support: Unpaid supports that are or may be provided voluntarily to the individual in lieu of Waiver services and supports. Any determination of the availability of natural supports includes, but is not limited to consideration of the individual’s caregiver(s) age, physical and mental health, travel and work or school schedule, responsibility for other dependents, sleep, and ancillary tasks necessary to the health and well-being of the client.

    (6) through (8) renumbered (8) through (10) No change.

    Rulemaking Authority 393.501(1), FS. Law Implemented 393.066(8), F.S. History–New_________.

     

    65G-13.002-Individual and Family Supports (IFS) Determination Procedure.

    (1) through (5) No change.

    (a) DENIAL OR TERMINATION: If the Regional office concludes that the client does not meet IFS criteria or that the services needed are available from other agencies or programs, or covered by other third-party payers, the Regional office will deny the IFS request and provide written notification of the denial to the client or client’s individual representative. Individuals denied IFS funding requests have the right within 30 days of notification of the denial or termination of IFS funding to request an administrative hearing pursuant to ss. 120.569 and 120.57.

    (b) through (c) No change.

    (6) through (7) No change.

    (8) Non-Allowable IFS services: Services and items that are not medically necessary or not intended for the direct benefit of the client may not be purchased with IFS funds.  IFS funds may not to be used for experimental treatment or therapies not generally accepted by the medical community as effective and proven, home repairs, spas, pools, fences, or restraint devices.

    Rulemaking Authority 393.501(1), FS. Law Implemented 393.066(8), F.S. History–New________.

     

    65G-13.003 Individual and Family Supports Prioritization Criteria.

    (1) through (6) No change.

    (a) No change.

    (b) Services to alleviate a potential crisis referral if the services needed are short term and time-limited, (such as short term respite until a caregiver recuperates from surgery) and services to assist individuals who did not meet crisis criteria but who have emergency needs.

    (c) through (f) No change.

    (7) through (8) No change.

    (9) Fifth Priority Criteria: Non-Emergency Services – Services for individuals on the Waiting List who have needs for services that are not emergency in nature can be approved for time periods that do not exceed the end of the fiscal year on a short term basis. These funds are only to be authorized if all other priorities described above have been met.

    Rulemaking Authority 393.501(1), FS. Law Implemented 393.066(8), F.S. History–New________.