Current through 2024-51, December 18, 2024
Section 152-7-6 - COMPARABLE BENEFITS AND PARTICIPATION BY CONSUMERS INTHE COST OF IL PROGRAM SERVICES1. If an eligible consumer wishes to financially participate in the cost of IL goods and services consistent with the ILP and/or amendments, it will be documented in the case record.2. If comparable services and benefits are available, they shall be utilized to meet, all or part of the cost of IL services. The utilization of comparable services and benefits do not apply, if the determination of the availability would delay the provision of services to a consumer who is at extreme medical risk. A determination of extreme medical risk shall be based upon medical evidence, provided by an appropriate licensed medical professional, that presents a risk of substantially increasing functional impairment or risk of death if medical services are not provided expeditiously. If comparable services or benefits exist under any other program, but are not available to the individual at the time needed to satisfy the objectives in the individual's ILP, the ILS Program shall provide independent living services until those comparable services and benefits become available. The utilization of comparable services and benefits do not apply in the following situations: A. Counseling and guidance necessary to develop an IL Plan; andB. Referral and placement to alternative resources.3. ILS Program case service funds shall not be used to supplant services traditionally provided by other state, federal or private agencies.12- 152 C.M.R. ch. 7, § 6