below for criteria on provider requirements. Specify applicable (if any) limits on the amount, frequency or duration of this Specify applicable (if any) limits on the service: amount, frequency or duration of this Extended state plan nursing services can service: only be provided to adult waiver Extended state plan nursing services can participants (participants age 21 and older). only be provided to adult waiver Nursing services may only be funded for participants (participants age 21 and adult participants through the Waiver if older). Nursing services may only be documentation is secured by the Supports funded for adult participants through the Coordinator that shows the service is Waiver if documentation is secured by the medically necessary (i.e functions that can Supports Coordinator that shows the only be provided by a registered nurse or service is medically necessary and either and either not licensed practical nurse) not covered by the participant's insurance covered by the participant's insurance or or insurance limitations have been insurance limitations have been reached. A reached. A participant's insurance includes participant's insurance includes Medical Medical Assistance (MA), Medicare and/or Assistance (MA), Medicare and/or private private insurance. insurance. Service Delivery Method each that Service Delivery Method each that applies): applies): Participant-directed as specified in Participant-directed as specified in Appendix E Appendix E Provider managed Provider managed Specify whether the service may be Specify whether the service may be provided by (check each that applies): provided by (check each that applies): Legally Responsible Person Legally Responsible Person Relative Relative Guardian Legal Guardian C-1/C-3 Therapy Services Therapy services include the following: Therapy services include the following: Align with current – Service Specification Visual/mobility therapy provided by a Visual/mobility Orientation, mobility and terminology and standards • and Provider trained visual or mobility vision therapy provided by a trained visual Specifications specialist/instructor based on an or orientation and mobility evaluation and recommendation by a specialist/instructor based on an evaluation trained mobility specialist/instructor and recommendation by a trained mobility or a physician… specialist/instructor or a physician…
below for criteria on provider requirements. Specify applicable (if any) limits on the amount, frequency or duration of this service: Extended state plan nursing services can only be provided to adult waiver participants (participants age 21 and older). Nursing services may only be funded for adult participants through the Waiver if documentation is secured by the Supports Coordinator that shows the service is medically necessary and either not covered by the participant's insurance or insurance limitations have been reached. A participant's insurance includes Medical Assistance (MA), Medicare and/or private insurance. Service Delivery Method each that applies): Participant-directed as specified in Appendix E Provider managed Specify whether the service may be provided by (check each that applies): Legally Responsible Person Relative Guardian Specify applicable (if any) limits on the amount, frequency or duration of this service: Extended state plan nursing services can only be provided to adult waiver participants (participants age 21 and older). Nursing services may only be funded for adult participants through the Waiver if documentation is secured by the Supports Coordinator that shows the service is medically necessary (i.e functions that can only be provided by a registered nurse or licensed practical nurse) and either not covered by the participant's insurance or insurance limitations have been reached. A participant's insurance includes Medical Assistance (MA), Medicare and/or private insurance. Service Delivery Method each that applies): Participant-directed as specified in Appendix E Provider managed Specify whether the service may be provided by (check each that applies): Legally Responsible Person Relative Legal Guardian C-1/C-3 Therapy Services – Service Specification and Provider Specifications Therapy services include the following: Visual/mobility therapy provided by a trained visual or mobility specialist/instructor based on an evaluation and recommendation by a trained mobility specialist/instructor or a physician… Therapy services include the following: • Visual/mobility Orientation, mobility and vision therapy provided by a trained visual or orientation and mobility specialist/instructor based on an evaluation and recommendation by a trained mobility specialist/instructor or a physician… Align with current terminology and standards
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