D.C. Mun. Regs. tit. 29, r. 29-9003
The DC Level of Need (LON) is a comprehensive assessment tool, initiated by the Service Coordinator and completed with the person, their advocate and other members of their support team who serve as the resource for providing the information that is entered into the LON.
The LON is reviewed on an annual basis and/or whenever the person experiences a significant change in their life anytime during the year. The LON documents the person's health, intellectual and developmental health diagnoses, and support needs in all major life activities to determine the LOC determination criteria specified in §§ 9002.4.
The person shall meet the LOC as described under §§ 9002, by the following process at initial evaluation and re-evaluation:
Written documentation of each evaluation and re-evaluation shall be maintained by DDS for a minimum period of three (3) years, except when there is an audit or investigation, in which case, the records shall be maintained by DDS until the review has been completed.
Once a person has been determined eligible for services under the Waiver, the person or legal representative shall document the choice of institutional or HCBS Waiver on a Freedom of Choice form.
The choice of either Individuals with Intellectual and Developmental Disabilities (IDD) Waiver or IFS Waiver services will be based on the person's individualized and person-centered needs determined through the Interdisciplinary Team process for the Individual Support Plan and Plan of Care.
The Freedom of Choice form shall consist of choices between:
Each person who is not given the choice of HCBS as an alternative to institutional care in an ICF/IID as set forth in §§ 9002.1(e), shall be entitled to a fair hearing in accordance with 42 C.F.R. Part 431, Subpart E.
D.C. Mun. Regs. tit. 29, r. 29-9003