Extended Living R501-2 UAC, Certified by DSPD as Under state contract with DSPD as an Supports an authorized provider authorized provider of services and R539-6 UAC Provider of services and supports to people with disabilities in (4 or more supports to people accordance with 62A-5-103, UCA. individuals) with disabilities in accordance with Enrolled as Medicaid provider UCA. Verification of Provider Qualifications Provider Type: Entity Responsible for Verification: Frequency of Verification Extended Living Division of Services for People with Disabilities Annually Supports Provider Living Start-Up Costs HCBS Taxonomy Category 1: Sub-Category 1: Category 2: Sub-Category 2: Category 3: Sub-Category 3: Category 4: Sub-Category 4: Service Definition (Scope): Living Start-Up Cost are for individuals transitioning from a more restrictive living arrangement to a less restrictive living arrangement, this service provides reimbursement for the purchase of essential household items needed to establish basic living arrangements that allow the individual to live safely in the community. Essential household items include a bed, a table, chairs, bathroom furnishings, pots, pans, storage containers, utensils, broom, vacuum, plates, dishes, bowls, cups, telephone, answering machine, alarm clocks, hangers, duplicate keys, locks, non-refundable set-up fees or deposits for utility or service access (e.g. telephone, electricity, heating). Specify applicable (if any) limits on the amount, frequency, or duration of this service: Limitations: Reimbursement for the cost of rent or food is not a covered expense under this service. Reimbursable items are limited to only those household items that are essential. Reimbursement for entertainment and diversional items such as players, or gaming televisions, stereos, DVD players, VCR’s, CD systems, etc. is prohibited. Reimbursement for the cost of refundable fees or deposits is not a covered expense under this service.
Extended Living Supports Provider R501-2 UAC, R539-6 UAC (4 or more individuals) Certified by DSPD as an authorized provider of services and supports to people with disabilities in accordance with UCA. Under state contract with DSPD as an authorized provider of services and supports to people with disabilities in accordance with 62A-5-103, UCA. Enrolled as Medicaid provider Verification of Provider Qualifications Provider Type: Entity Responsible for Verification: Frequency of Verification Extended Living Supports Provider Division of Services for People with Disabilities Annually Living Start-Up Costs HCBS Taxonomy Category 1: Sub-Category 1: Category 2: Sub-Category 2: Category 3: Sub-Category 3: Category 4: Sub-Category 4: Service Definition (Scope): Living Start-Up Cost are for individuals transitioning from a more restrictive living arrangement to a less restrictive living arrangement, this service provides reimbursement for the purchase of essential household items needed to establish basic living arrangements that allow the individual to live safely in the community. Essential household items include a bed, a table, chairs, bathroom furnishings, pots, pans, storage containers, utensils, broom, vacuum, plates, dishes, bowls, cups, telephone, answering machine, alarm clocks, hangers, duplicate keys, locks, non-refundable set-up fees or deposits for utility or service access (e.g. telephone, electricity, heating). Specify applicable (if any) limits on the amount, frequency, or duration of this service: Limitations: Reimbursement for the cost of rent or food is not a covered expense under this service. Reimbursable items are limited to only those household items that are essential. Reimbursement for entertainment and diversional items such as televisions, stereos, DVD players, VCR’s, CD players, or gaming systems, etc. is prohibited. Reimbursement for the cost of refundable fees or deposits is not a covered expense under this service.
ABI_Amendment_11.3.17.docx