The consumer and the Counselor can modify the initial schedule and change the personal assistance tasks assigned that are included on the PCA Task Assignment Sheet to a mutually agreeable schedule that will meet the client's needs. This does not change the number of hours that have been approved as needed. Only PCA tasks that are allowed on the IL Waiver or TBI/SCI Waiver can be provided and PCA paid for. If additional hours are needed, the procedures outlined in 12.2 must be utilized. The schedule modification can be ongoing; for example, the client scheduled tub bathe daily can be changed to 4 times per week; or tasks assigned Monday, Wednesday and Friday can be changed to Monday, Tuesday and Wednesday. Flexibility allows the client tasks to meet the particular needs of the client considering changes in their condition and wants. Hours are based solely on hours assumed to be provided within the home environment. Flexibility is not intended to be for convenience or to be applied to justify the absence of an attendant or break in services.
OSDP has a backup system to assure the provision of all PCA services on the schedule agreed and approved without service break; even if there are unexpected changes in personnel.
If the client notifies the Counselor that the PCA has not provided services as mutually agreed, the Counselor must contact the PCA to find out the problem of which endangered the health and safety of the client.
32 Miss. Code. R. 1-15.5