Definitions, Allocation Algorithm, General Provisions, Establishment of the iBudget Amount, iBudget Cost Plan, Significant Additional Need Funding
DEPARTMENT OF CHILDREN AND FAMILIES
Agency for Persons with Disabilities
RULE NOS.:RULE TITLES:
65G-4.0213Definitions
65G-4.0214Allocation Algorithm
65G-4.0215General Provisions
65G-4.0216Establishment of the iBudget Amount
65G-4.0217iBudget Cost Plan
65G-4.0218Significant Additional Need Funding
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. 46 No. 227, November 20, 2020, issue of the Florida Administrative Register.
65G-4.0213 Definitions.
No change.
(1) through (3) No change.
(4) “Amount Implementation Meeting Worksheet” or “AIM Worksheet” means a form used by the Agency for new Waiver enrollees, and upon recalculation of a client’s algorithm, to:
(a) through (b) No change.
(c) Identify additional services, if any, should the client or their legal representative feel that any Significant Additional Needs of the client cannot be met within the Allocation Algorithm Amount. The Amount Implementation Meeting AIM Worksheet – APD Form 65G-4.0213 A, effective 7-1-21, is hereby adopted and incorporated by reference, and is available at _________.
(5) through (6) No change.
(7) “Verification of Available Services” means a form completed by the WSC to enable the Agency to certify and document that the client has utilized all available services through the Medicaid State Plan, school-based services, private insurance, other benefits, and any other resources, such as local, state, and federal government and non-government programs or services and natural or community supports, that might be available prior to requesting Waiver funds. The Verification of Available Services documents and verifies that the iBudget Waiver is the payer of last resort. A valid and accurate Verification of Available Services is a condition precedent to the authorization of services. The Verification of Available Services – APD Form 65G-4.0213 B, effective 7-1-21, is hereby adopted and incorporated by reference and is available at _________.
(8) through (12) No change.
(13) “Health and Safety” includes both emotional, behavioral, mental, and physical health and safety.
(14) through (21) No change.
(22) “Questionnaire for Situational Information” or “QSI” effective 5-21-15 means an assessment instrument used by the Agency to determine a client’s needs in the areas of functional, behavioral, and physical status. The QSI is adopted by the Agency as the current valid and reliable assessment instrument and is hereby incorporated by reference. The QSI is available at: http://www.flrules.org/Gateway/reference.asp?No=Ref-07075.
(23) through (27) No change.
(28) “Significant change in condition or circumstance” means a significant change or deterioration in a client’s health status after an accident or illness, an actual or anticipated change in the client’s living situation, a change in the caregiver relationship or the caregiver’s ability to provide supports, loss of or deterioration of his or her home environment, or loss of the client’s spouse or caregiver. Examples of a significant change include:
(a) through (c) No change.
(29) through (32) No change.
(33) “WSC Job Aid for Cost Plans and Significant Additional Needs Documentation” means a form that identifies the documentation required for each service requested in the cost plan. The documentation identified by this form is a material part of each request. The WSC Job Aid for Cost Plans and Significant Additional Needs Documentation – APD Form 65G-4.0213 D, effective 7-1-21, is hereby adopted and incorporated by reference and is available at _________.
(34) No change.
PROPOSED EFFECTIVE DATE: 7-1-21
Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.063, 393.0662, 409.906 FS. History–New 7-7-16, Amended 7-1-21 _____.
65G-4.0214 Allocation Algorithm.
(1) through (4) No change.
PROPOSED EFFECTIVE DATE: 7-1-21
Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.063, 393.0662 FS. History–New 7-7-16, Amended 7-1-21 _____.
65G-4.0215 General Provisions.
(1) through (5) No change.
(6) Approval, Denial, or Closure of Applications.
(a) No change.
(b) To enroll as a provider for iBudget Waiver services, the provider must first submit an application to the Agency or Persons with Disabilities using the Regional iBudget Provider Enrollment Application – Waiver Support Coordinator (WSC) – APD Form 65G-4.0215 A, effective date 7-1-2021 __________, for Waiver Support Coordinator applications, which is available at _________, or the Regional iBudget Provider Enrollment Application – Non-WSC – APD Form 65G-4.0215 B, effective date 7-1-2021 ____________, for all other provider applications, which is available at _________. These forms are hereby incorporated by reference. The qualifications to provide services are identified in the Handbook.
(c) through (d) No change.
(7) through (8) No change.
PROPOSED EFFECTIVE DATE: 7-1-21
Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.063, 393.0662, 409.906 FS. History–New 7-7-16, Amended 9-12-18, 7-1-21 _____.
65G-4.0216 Establishment of the iBudget Amount.
(1) through (7) No change.
PROPOSED EFFECTIVE DATE: 7-1-21
Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.063, 393.0662, 409.906 FS. History–New 7-7-16, Amended 7-1-21 _____.
65G-4.0217 iBudget Cost Plan.
(1) through (6) No change.
PROPOSED EFFECTIVE DATE: 7-1-21
Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.063, 393.0662, 409.906 FS. History–New 7-7-16, Amended 7-1-21 _____.
65G-4.0218 Significant Additional Need Funding.
(1) through (11) No change.
PROPOSED EFFECTIVE DATE: 7-1-21
Rulemaking Authority 393.501(1), 393.0662 FS. Law Implemented 393.063, 393.0662, 409.906 FS. History–New 7-7-16, Amended 7-1-21 _____.
