Idaho Admin. Code r. 16.03.13.120

Current through September 2, 2024
Section 16.03.13.120 - PARTICIPANT RESPONSIBILITIES

With the assistance of the support broker and the legal representative, if one exists, the participant is responsible for the following:

01.Guiding Principles. Accepting and honoring the guiding principles for the CDCS option found in Section 010 of these rules.
02.Person-Centered Planning. Directing the person-centered planning process in order to identify and document paid and unpaid support and service needs, wants, and preferences.
03.Rates. Negotiating payment rates for all paid community supports they want to purchase, ensuring rates negotiated for supports and services do not exceed the prevailing market rate, and that are cost-effective when comparing them to reasonable alternatives, and including the details in the employment agreements.
04.Agreements. Completing and implementing agreements for the fiscal employer agent, the support broker and community support workers and submitting the agreements to the fiscal employer agent. These agreements must be submitted on Department-approved forms.
05.Agreement Detail. Ensuring that employment agreements specifically identify the type of support being purchased, the rate negotiated for the support, and the frequency and duration of the scheduled support or service. The participant is responsible for ensuring that each employment agreement: clearly identifies the qualifications needed to provide the support or service; includes a statement signed by the hired worker that they possess the needed skills; and the signature of the participant that verifies the same. Additionally, each employment agreement will include statements that: the participant is the employer even though payment comes from a third party; employees are under the direction and control of the participant; services must be delivered consistent with the rules in IDAPA 16.03.10, "Medicaid Enhanced Plan Benefits," Sections 311 through 317; and no employer-related claims will be filed against the Department.
06.Plan. Developing a comprehensive support and spending plan based on the information gathered during the person-centered planning.
07.Time Sheets and Invoices. Reviewing and verifying that supports being billed were provided and indicating that they approve of the bill by signing the timesheet or invoice.
08.Quality Assurance and Improvement. Providing feedback to the best of their ability regarding their satisfaction with the supports they receive and the performance of their workers.

Idaho Admin. Code r. 16.03.13.120

Effective March 17, 2022