the requirements specified in the future years so we have AEs perform the following delegated AE Operating Agreement. inserted or its “PUNS waiver administration functions: successor.” 1. Participant waiver enrollment AEs perform the following – Receive/review applications, ensure delegated waiver administration Both of these changes were initial and annual completion of a functions: made throughout the waiver waiting list assessment of need and 1. Participant waiver enrollment document. Each instance of – refer applicants for an eligibility Receive/review applications, this change is not reflected in decision. ensure initial and annual this side-by-side. completion of PUNS or its successor a waiting list assessment of need and refer applicants for an eligibility decision. Waiver(s) Impacted Appendix/Service Proposed Language Released For Final Language Submitted to CMS Reason for Change Definition Public Comment on December 3, 2016 Appendix B Consolidated and Appendix B-1-a: Target Developmental Disability Developmental Disability Public comment P/FDS Groups Minimum Age 0 Minimum Age 0 recommended the maximum Maximum Age 7 Maximum Age 7 8 age for developmental disability be increased from age seven to age eight when IQ testing and diagnosis become more stable and reliable. Consolidated and Appendix B-1-c: Individuals who are enrolled with a Individuals Participants who are Public comment P/FDS Transition of Individuals developmental disability will be enrolled with a developmental recommended the maximum Affected by Maximum reevaluated the ICF/ID or disability will be reevaluated age for developmental Age Limitation ICF/ORC criteria prior to their 8th using the ICF/ID or ICF/ORC disability be increased from birthday. If they are eligible, they will criteria during their 8th year age seven to age eight when continue to receive waiver services. (prior to their 8th 9th birthday). If IQ testing and diagnosis If the individual is not eligible, they they are eligible, they will become more stable and will be referred to other resources. continue to receive waiver reliable. Individuals will be referred to the services. If the individual
AEs perform the following delegated waiver administration functions: 1. Participant waiver enrollment – Receive/review applications, ensure initial and annual completion of a waiting list assessment of need and refer applicants for an eligibility decision. the requirements specified in the AE Operating Agreement. AEs perform the following delegated waiver administration functions: 1. Participant waiver enrollment – Receive/review applications, ensure initial and annual completion of PUNS or its successor a waiting list assessment of need and refer applicants for an eligibility decision. future years so we have inserted “PUNS or its successor.” Both of these changes were made throughout the waiver document. Each instance of this change is not reflected in this side-by-side. Waiver(s) Impacted Appendix/Service Definition Proposed Language Released For Public Comment on December 3, 2016 Final Language Submitted to CMS Reason for Change Appendix B Consolidated and P/FDS Appendix B-1-a: Target Groups Developmental Disability Minimum Age 0 Maximum Age 7 Developmental Disability Minimum Age 0 Maximum Age 7 8 Public comment recommended the maximum age for developmental disability be increased from age seven to age eight when IQ testing and diagnosis become more stable and reliable. Consolidated and P/FDS Appendix B-1-c: Transition of Individuals Affected by Maximum Age Limitation Individuals who are enrolled with a developmental disability will be reevaluated the ICF/ID or ICF/ORC criteria prior to their 8th birthday. If they are eligible, they will continue to receive waiver services. If the individual is not eligible, they will be referred to other resources. Individuals will be referred to the Individuals Participants who are enrolled with a developmental disability will be reevaluated using the ICF/ID or ICF/ORC criteria during their 8th year (prior to their 8th 9th birthday). If they are eligible, they will continue to receive waiver services. If the individual Public comment recommended the maximum age for developmental disability be increased from age seven to age eight when IQ testing and diagnosis become more stable and reliable.
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