Section 16.03.10.512 - ADULT DEVELOPMENTAL DISABILITY SERVICES PRIOR AUTHORIZATION: PROCEDURAL REQUIREMENTS01. Assessment for Plan of Service. The assessment for a plan of service is required for all participants prior to the development of the plan of service. This assessment must include the following in Subsections 512.02 through 512.06 of these rules. (3-17-22)02.Physician's History and Physical. The history and physical must include a physician's referral for nursing services under the DD waivers and for developmental disabilities agencies' services, if they are anticipated to be part of the plan of service. A physician's history and physical is required within the year prior to the initiation of service and thereafter on a frequency determined by the physician. For participants in Healthy Connections: (3-17-22)a. The Healthy Connections physician may delegate to the Department the authority to approve developmental disability services. (3-17-22)b. The Healthy Connections physician must conduct the history and physical, and may refer the participant for other evaluations. (3-17-22)03.Medical, Social, and Developmental History. The medical, social and developmental history is used to document the participant's medical social and developmental history information. A current medical social and developmental history must be evaluated prior to the initiation of developmental therapy and must be reviewed annually to assure it continues to reflect accurate information about the participant's status. (3-17-22)a. A medical, social and developmental history for each adult participant is completed by the Department or its contractor. (3-17-22)b. Providers should obtain and utilize the medical, social developmental history documents generated by the Department or its contractor when one is necessary for adult program or plan development. (3-17-22)04. Department-Approved Assessment Tool. The results of a Department-approved assessment tool are used to determine the level of support for the participant. A current Department-approved assessment will be evaluated prior to the initiation of service and reviewed annually to assure it continues to reflect the functional status of the participant. A department-approved assessment tool for adults is completed by the Department or its contractor. Providers must obtain and utilize the document generated by the Department or its contractor when one is necessary for program or plan development. (3-17-22)05.Medical Condition. The participant's medical conditions, risk of deterioration, living conditions, and individual goals. (3-17-22)06.Behavioral or Psychiatric Needs. Behavioral or psychiatric needs that require special consideration. (3-17-22)Idaho Admin. Code r. 16.03.10.512