Louisiana Medicaid Services Manual, Chapter 7: Community Choices Waiver, Section 7.2 — Self-Direction Option

What this rule requires your agency to do

• 1A POC revision by the support coordinator is required in order to eliminate the F/EA and add the beneficiary's chosen Medicaid-enrolled direct service provider(s) upon termination of the option. (Section 7.2, p.2)(Louisiana Medicaid Services Manual, Chapter 7: Community Choices Waiver, Section 7.2 — Self-Direction Option)
• 2A required component of the self-direction option is the use of a fiscal/employer agent (F/EA) to perform the beneficiary's employer-related financial management services, and beneficiaries must utilize support coordination services for POC development, budget planning, ongoing evaluation of supports and services, and organizing resources. (Section 7.2, p.1)(Louisiana Medicaid Services Manual, Chapter 7: Community Choices Waiver, Section 7.2 — Self-Direction Option)
• 3Beneficiaries who return to a traditional DSP must remain with this DSP for at least 90 calendar days (three months) before opting to return to the self-direction option if they are eligible to do so. (Section 7.2, p.2)(Louisiana Medicaid Services Manual, Chapter 7: Community Choices Waiver, Section 7.2 — Self-Direction Option)
• 4Participants must comply with all state and federal laws and regulations including but not limited to minimum wage and/or wage floor (whichever is the higher rate) and overtime requirements. (Section 7.2, p.2)(Louisiana Medicaid Services Manual, Chapter 7: Community Choices Waiver, Section 7.2 — Self-Direction Option)
• 5Beneficiaries participating in the self-direction option must be certified for CCW services, be able to participate without a lapse or decline in quality of care or increased risk to health and welfare, complete the mandatory overview provided by the support coordinator, understand the rights, risks, and responsibilities of self-direction, and manage and use an individual budget. (Section 7.2, p.1)(Louisiana Medicaid Services Manual, Chapter 7: Community Choices Waiver, Section 7.2 — Self-Direction Option)