Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXI - Home and Community-Based Services Waivers
Subpart 7 - Community Choices Waiver
Chapter 89 - Admission and Discharge Criteria
Section XXI-8901 - Admission Criteria
Universal Citation: LA Admin Code XXI-8901
Current through Register Vol. 50, No. 9, September 20, 2024
A. Admission to the Community Choices Waiver program shall be determined in accordance with the following criteria:
1. meets the target
population criteria as specified in the approved waiver document;
2. initial and continued Medicaid
eligibility;
3. initial and
continued eligibility for a nursing facility level of care;
4. justification, as documented in the
approved POC, that the Community Choices Waiver services are appropriate, cost
effective and represent the least restrictive environment for the individual;
and
5. reasonable assurance that
the health and welfare of the participant can be maintained in the community
with the provision of Community Choices Waiver services.
B. Failure of the individual to cooperate in the eligibility determination, plan of care development process or to meet any of the criteria above shall result in denial of admission to the Community Choices Waiver.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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