Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 46 - MEDICAID SUPPORTS AND COMPREHENSIVE WAIVERS
Section 46-8 - Inventory for Client and Agency Planning Assessment
Universal Citation: WY Code of Rules 46-8
Current through September 21, 2024
(a) An individual is not eligible for waiver services pursuant to Section 4 of this Chapter unless the individual receives a qualifying Inventory for Client and Agency Planning (ICAP) assessment score for the individual's age.
(i) If an individual is age zero (0) through
one (1), the adaptive behavior quotient shall be .50 or below.
(ii) If an individual is age two (2) through
five (5):
(A) The ICAP service score shall be
between 30 and 44, depending on age; or
(B) The adaptive behavior quotient shall be
.50 or below.
(iii) If an
individual is age six (6) through twenty (20):
(A) The ICAP service score shall be between
48 and 70, depending on age; or
(B)
The adaptive behavior quotient shall be .70 or below.
(iv) If an individual is age twenty-one (21)
or older:
(A) The ICAP service score shall be
70 or less; or
(B) The individual
shall have a functional limitation in at least three (3) of the following ICAP
areas: self-care, language, learning/cognition, mobility, self-direction, or
independent living.
(b) The ICAP assessment shall be administered by the Division's designee, and shall be completed every five (5) years, or more frequently at the option of the Division, to provide continued verification that the participant meets waiver clinical eligibility.
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