The services listed in this section are covered services if they are functionally necessary and part of a current emergency service plan approved by the Division. The Division shall establish rates for covered services.
(a) Emergency Case Management Services. - (i) Due to the critical nature of emergency situations, completion of the following emergency case management services shall occur as quickly as possible to alleviate the emergency and to quickly identify resources, services, and supports that the applicant can access:
- (A) Gathering and compiling medical, educational, social, and other information.
- (B) Coordinating completion of applications for Title XIX services, Medicare, social security, mental health services, vocational rehabilitation, and any other pertinent services.
- (C) Applying for a temporary Medicaid number for the applicant, so that the psychological or neuropsychological assessment and Inventory for Client and Agency Planning can be completed to determine eligibility for a home and community based waiver, pursuant to Section 10 of this Chapter.
- (D) Developing and submitting the emergency service plan to the Division.
- (E) Providing on-going oversight of the services provided to the applicant to assure health and safety needs are met.
(b) Room and Board. - (i) Compensation for room and board until the applicant, if eligible, is funded on one of the home and community based waivers, or until the applicant receives social security income or other means to pay room and board, whichever comes first.
(c) Skilled Nursing Services.
(d) Supervision and Safety Services. - (i) Supervision and Safety services for the purposes of this Chapter shall include 24-hour services that may be provided in a residential, day program, community based setting, and/or the person's home.
(e) The Division may pre-approve, in writing, other unusual or specialized needs necessary for the applicant's health and safety or eligibility determination on a case-by-case basis.