7/1 Waiver Regulations Implementation Issues

Michael Bailey Miscellaneous Leave a Comment

SDS is compiling a “clean-up” package of regulations to address unintended consequences related to the new waiver regulations released on 7/1. Examples of issues that have been identified include:

  1. Requirements for 1-on-1 supported living services: Need to examine the potential impact on the ability of providers who have developed more congregate settings (i.e. apartments where one provider supports multiple individuals living in an apartment building).
  2. Access to Nursing Oversight and Care Management for individuals receiving services via the APDD/ALI waivers: Private duty nursing is not always available, particularly in rural areas.
  3. Requirements related to medication assistance: nurse-approved training requirement difficult especially for smaller providers, rural providers – reducing availability of respite/PCA services.
  4. Late LOC/set POC date dilemma: need to add a caveat in the regs that directs the care coordinator to submit a plan of care without a level of care in the event the level of care is late.

Please add comments to this post regarding issues your agency is struggling with or further details/examples related to the issues described above. These comments will be compiled and presented to SDS.


Leave a Reply