Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 480 - HOME AND COMMUNITY-BASED SERVICES
Chapter 6 - TRAUMATIC BRIAN INJURY (TBI) WAIVER SERVICE REQUIREMENTS
Section 480-6-002 - PARTICIPANT ACCESS AND REQUIREMENTS
Universal Citation: 480 NE Admin Rules and Regs ch 6 ยง 002
Current through September 17, 2024
002.01 PARTICIPANT ELIGIBILITY. In addition to the criteria outlined in 480 Nebraska Administrative Code (NAC) 3-000, to be eligible for Traumatic Brain Injury (TBI) Waiver services, an individual must:
(A) Be an adult, ages 18 - 64 years old, with
a medically documented diagnosis of traumatic brain injury (TBI);
(B) Have needs which require the type of care
necessary to treat the conditions and criteria identified in the definition of
a Specialized Assisted Living (SAL); and
(C) Utilize available waiver capacity. If a
statewide waiting list is required due to limited statewide capacity, the next
available opening is assigned based upon this priority order:
(i) The participant has been residing in a
nursing facility, hospital, or other institution for longer than 90
days;
(ii) The participant is in a
crisis or high stress situation and is at risk for institutional
placement;
(iii) The participant is
a person who has had a substantiated report of abuse or neglect, and it is
determined that the applicant can be appropriately supported with waiver
services; and
(iv) Any other
situation where the participant is eligible for waiver services.
002.02 PERSON-CENTERED PLAN (PCP). The person-centered plan (PCP) must be developed and managed in accordance with the provisions of 480 NAC 3-000 and additionally, will identify specialized assisted living (SAL) service components and select a qualified provider to meet the participant's assessed needs.
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