Page 30

Describe the process for screening during the reverse referral request process, including the staff involved. Participants do not have to be directly referred to ICAN to enroll. Individual ICAN providers can enroll participants. When an individual enrolls in ICAN via a provider agency, the provider will confirm 3SVT and RUFA eligibility. This confirmation can be completed with data in VJL or by emailing the ESD ICAN coordinators. Prior to confirming ICAN eligibility and completing ICAN enrollment the provider will have determined eligibility for their own programs and components. Individuals who may be ICAN eligible but are not eligible for a provider's program will be referred to the ICAN orientation to get enrolled in ICAN and connected to appropriate services. ICAN-RU does not have reverse referrals. All referrals to ICAN-RU are made by ESD to an ICAN-RU provider. Are participants informed about participant reimbursements before the individual is referred to E&T by eligibility staff? Yes No How are participants informed about participant reimbursements? 3SVT households not active RUFA are informed about participant reimbursements several times during the ICAN screening process. 1. Participants are educated about participant reimbursements by eligibility staff during the application and recertification process. 2. Participants receive written information regarding participant reimbursements. • ESD 218FS-1 and ICAN flyer are sent when an individual is interested in ICAN. • Notice of decision includes ICAN details and eligible participants. • CWN includes ICAN details. 3. Participant Reimbursements are discussed during the ICAN orientation video. 4. The participant handbook is available on the ICAN customer webpage and includes details about participant reimbursements. Once participants connect to ICAN staff for case management and component services, participant reimbursements are explained and the need for them reviewed on an ongoing basis. This includes reviewing the participant handbook with participants and having them consent to the participant reimbursement agreement prior to receiving their first reimbursement. Participants enrolled in ICAN-RU are notified by RUFA case managers and/or ICAN-RU provider about participant reimbursements and this is documented in case notes. They are regularly revisited. 1/29/26, 10:27 AM State Plan VT FY26 - Original Submission https://dam-fns.usda.gov/sites/default/files/microsite/snapet-vtfy26stateplan//index.html 30/159