480 Neb. Admin. Code, ch. 6, § 002

Current through September 17, 2024

Section 480-6-002 - PARTICIPANT ACCESS AND REQUIREMENTS

002.01PARTICIPANT ELIGIBILITY. In addition to the criteria outlined in 480 Nebraska Administrative Code (NAC) 3-000, to be eligible for Traumatic Brain Injury (TBI) Waiver services, an individual must:

(A) Be an adult, ages 18 - 64 years old, with a medically documented diagnosis of traumatic brain injury (TBI);

(B) Have needs which require the type of care necessary to treat the conditions and criteria identified in the definition of a Specialized Assisted Living (SAL); and

(C) Utilize available waiver capacity. If a statewide waiting list is required due to limited statewide capacity, the next available opening is assigned based upon this priority order:

(i) The participant has been residing in a nursing facility, hospital, or other institution for longer than 90 days;

(ii) The participant is in a crisis or high stress situation and is at risk for institutional placement;

(iii) The participant is a person who has had a substantiated report of abuse or neglect, and it is determined that the applicant can be appropriately supported with waiver services; and

(iv) Any other situation where the participant is eligible for waiver services.

002.02 PERSON-CENTERED PLAN (PCP). The person-centered plan (PCP) must be developed and managed in accordance with the provisions of 480 NAC 3-000 and additionally, will identify specialized assisted living (SAL) service components and select a qualified provider to meet the participant's assessed needs.

480 Neb. Admin. Code, ch. 6, § 002

Adopted effective 10/3/2021