223 HOME AND COMMUNITY-BASED CARE FOR THE DEVELOPMENTALLY DISABLED (HCBC-DD) (AAM)

223 HOME AND COMMUNITY-BASED CARE FOR THE DEVELOPMENTALLY DISABLED (HCBC-DD) (AAM)

SR 03-04 Dated 01/03 Previous Policy

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Home and Community-Based Care for the Developmentally Disabled (HCBC-DD) offers a variety of community-based services that a developmentally disabled individual may need in order to prevent institutionalization.

Individuals who meet the categorical requirements of any Division of Family Assistance (DFA) financial or medical assistance program may be eligible to receive community-based services if all of the following are met:

. Individual ' s income and resources are within the categorically or medically needy limits. See Part 601 , Income Limits;

. Division of Developmental Services (DDS) area agency establishes that the individual is appropriate for community-based services;

. DDS determines the individual has a medical necessity to receive intermediate care facility for the mentally retarded (ICF-MR) level of care (see the Medical Assistance Manual, Item 955 ); and

. Individual or their representative has chosen appropriate community-based care as an alternative to institutional care.

Exception: QMB, SLMB and SLMB135 * MA only cases are not eligible for HCBC Services.