32 Miss. Code. R. 1.11

Current through December 10, 2024
Section 32-1.11 - UTILIZING COMPARABLE BENEFITS (THIRD PARTY RESOURCES)

For clients who are eligible for Medicare or Medicaid, the Counselor must explore the availability of services through other programs before assuming that the only resource is IL Waiver, TBI/SCI Waiver, IL Grant or TBI/SCI Trust fund. Any available benefits must be documented in the case file and utilized before any other program funds are used to meeting the individual's needs. For the waiver, these services are considered non-waiver services.

Example: If the client is eligible for Medicare and needs some type of equipment/supplies, the services available through Medicare must be used before using other OSDP programs to provide the services.

The Counselor is responsible for assisting the client in utilizing all other available services.

Other non-waiver services can include personal attendant care services provided by family or friends, or other community resources, skilled care or services provided by other agencies.

The provision of waiver and non-waiver must be a cooperative or collaborative effort between the Counselor and other resources.

When services are received by other resources, the amount of the service planned on the POC/ILP will be reduced by the amount available for that purpose through nonwaiver funds.

The Counselor must make efforts to obtain documentation (copies) from the client, the family, or the resource providing funding and services to document what services will be provided and through what resources. If documentation is not available, a summary of the services provided by other resources must be documented in the case file and the Counselor can proceed with developing the POC/ILP.

32 Miss. Code. R. 1.11