Individual-directed Goods and Services.

Medicaid shall cover services, equipment, or supplies not otherwise provided through this waiver or through the Medicaid State Plan for a CAP/DA beneficiary directing care, and the CAP/DA beneficiary does not have the funds to purchase the item or service or the item or service is not available through another source. This service helps assure health, safety, and well-being when the CAP/DA beneficiary or responsible party does not have resources to obtain the necessary item or service that will aid in the prevention or diversion of institutional placement. Individual-directed goods and services are items that are intended to: increase the CAP/DA beneficiary’s ability to perform ADL’s or IADL’s and decrease dependence on personal assistant services or other Medicaid-funded services.

Nutritional Services.

A service for a CAP/DA beneficiary that provides coverage for physician ordered health supplements, vitamins or mineral supplements, herbal preparations and over-the-counter medications (OTC) that are directly related to the primary physical medical condition and are determined medically necessary but are not available under the State Plan. These nutritional services are necessary to assist the CAP/DA beneficiary to maintain community placement and for the management of health and safety as identified in the person-centered service plan.

Pest Eradication.

A service for CAP/DA beneficiary that provides a one-time pest eradication treatment. This service is coverable when the CAP/DA beneficiary is living in his or her own home, when not already included in a lease, and when the eradication is for the management of health and safety as identified in the person-centered service plan. The eradication procedure is limited to one time per year.

Participant Goods and Services.

Medicaid shall cover a service for a CAP/DA beneficiary that providesservices, equipment, or supplies not otherwise provided through CAP/DA or through the Medicaid State Plan. This service helps assure health, safety and well-being when the beneficiary or responsible party does not have resources to obtain necessary item or service that will aid in the prevention or diversion of institutional placement. Participant goods and services are items that are intended to: increase the beneficiary’s ability to perform ADL’s or IADL’s and decrease dependence on personal assistant services or other Medicaid-funded services.

Non-medical Transportation.

Medicaid shall cover a service for a CAP/DA beneficiary to assist the CAP/DA beneficiary with transportation to complete activities that promotecommunity inclusion; physical and emotional health; and access to social and community services. Transportation providers are public transit (bus, train, rail system) or private carriers (taxicab services). Waiver funds for transportation consist of the purchase or pre-purchase of items such as: tickets, passes, vouchers, or direct payment to transportation providers as listed above.

Chore Services.

Medicaid shall cover a service for a CAP/DA beneficiary to assist the waiver beneficiary with:

1.One-time garbage disposal when there is a health hazard that exacerbates health care condition;

2.One-time decluttering of the home when there is a health hazard that exacerbates health care condition;