Goods and Services:
Services, equipment or supplies, not otherwise provided through generic resources, the Supports Program, or through the State Plan, which address an identified need (including improving and maintaining the participant’s opportunities for full membership in the community) and meet the following requirements: the item or service would decrease the need for other Medicaid services; and/or promote inclusion in the community; and/or increase the participant’s safety in the home environment; and, the participant does not have the funds to purchase the item or service or the item or service is not available through another source. Goods and Services are purchased from the participant’s budget and paid and documented by the fiscal intermediary.
·
Can be allocated from either budget (Emp/Day Hab. or Supports)
·
Goods and Services must be based on assessed need and specifically documented in the Service Plan
·
All Goods & Services require Division approval in order for prior authorization to be provided for the purchase of the Goods & Services
·
Examples
: Activity fees, art classes in your local community, voice lessons, college courses
·
Exclusions
: gift certificates, vacation expenses, personal items/services not related to the disability
(See section 17.9)
